Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Peachtree Pediatrics, PLLC (NPI 1487782942)

Field	Value
Entity Type	Organization
Organization	Peachtree Pediatrics, PLLC
Address	125 Medical Park Ln
City	Murphy
State	NC
ZIP	28906
Taxonomy	Pediatrics Physician
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	26,340	$90	$2.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	31,100	$60	$2M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	245,140	$10	$1.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,490	$90	$494.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,690	$90	$422.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,790	$90	$412.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,780	$100	$269.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	6,720	$40	$255.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10,440	$20	$208.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	12,500	$10	$162.5K

Showing 1–10 of 52

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Peachtree Pediatrics, PLLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	135	2,850	10,910	$10	$330.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	120	4,400	960	$60	$271.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	105	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	95	550	970	$90	$258.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	122	4,130	670	$50	$219.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	82	590	490	$90	$179.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	75	530	270	$90	$112.8K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	56	60	450	$100	$101.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	86	630	840	$30	$101.2K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	68	100	1,190	$10	$75.7K

Showing 1–10 of 52

Nearby Providers

Other providers in the same ZIP code as Peachtree Pediatrics, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ncg Acquisition, LLC	NC	Community/Behavioral Health Agency	$0	$27.6M
Cherokee County	NC	Land Ambulance	$474K	$715.6K
Daniel Eichenbaum	NC	Ophthalmology Physician	$1.1M	$0
Cherokee County	NC	State or Local Public Health Clinic/Center	$16.5K	$477K
Kristi Geoghagan	NC	Physical Therapist	$190.7K	$0
William Creel	NC	Gastroenterology Physician	$182.6K	$0
Richard Weisenburger	NC	Otolaryngology/Facial Plastic Surgery Physician	$116.5K	$0
David Mock	NC	Specialist	$108.4K	$0
Paige Brinke	NC	Medical Physician Assistant	$91.9K	$0
Charles Watras	NC	Family Medicine Physician	$64.8K	$0

Peachtree Pediatrics, PLLC — Billing Profile & Reimbursement Data

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Peachtree Pediatrics, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References