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.

The Charlotte-mecklenburg Hospital Authority (NPI 1487866315)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Charlotte-mecklenburg Hospital Authority
Address	920 Church St N
City	Concord
State	NC
ZIP	28025
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$56.5M
Medicare	$0

This entity is effectively single-payer in the claims data set: there is no Medicare billing on file and all recorded facility revenue is from Medicaid, totaling $56.5M. The absence of Medicare activity means analysis of Medicare mix, cross-subsidy, or dual-eligible flows is not possible from this data alone.

Medicaid revenue is extremely concentrated in emergency department E/M services: the top three Medicaid codes (99283, 99284, 99285) together account for 81.3% of this provider's total Medicaid revenue. Individually those codes generate $20.3M (36.8%) for 99283, $16.9M (30.7%) for 99284, and $7.6M (13.8%) for 99285, signaling that ED visits are the dominant revenue driver for the provider.

The code mix indicates an ED-centric operational profile: high volumes and revenue for 99283/99284/99285 point to a hospital that handles large emergency department throughput across low, moderate, and high medical-decision-making encounters. Supporting codes with elevated volumes — including 93005 (26.6K claims, $1M revenue) and 71046 (22K claims, $791.4K revenue) — further suggest routine EKGs and chest x-rays are integral to front-line emergency care.

On statewide competitive standing, the provider ranks very highly for key ED and diagnostic codes. For 99283 it ranks #15 of 316 providers in-state (96th percentile; notably above typical state volume), while 99284 ranks #19 of 325 (94th percentile) and 99285 ranks #26 of 281 (91th percentile); combined, these placements indicate the facility is a major ED participant in North Carolina rather than a marginal operator.

Several ancillary service lines also show outsized state-level volume, consistent with high ED throughput and on-site testing capacity. Molecular multiplex respiratory testing 87636 accounts for 20.5K claims and $3.3M revenue (6.0%) and ranks #3 of 78 (97th percentile; notably above typical state volume), while medication administration 96374 (30.4K claims, $577.8K, 1.0%) ranks #6 of 118 (96th percentile; notably above typical state volume), indicating well-developed lab and infusion/medication services to support emergency care.

The heavy reliance on a small set of ED codes creates a concentration risk for Medicaid revenue: with 81.3% of revenue concentrated in 99283/99284/99285, changes in ED utilization patterns, coding policy, or Medicaid reimbursement for E/M services could materially affect overall revenue stability. This concentration also suggests limited diversification into higher-margin elective or inpatient procedural lines within the Medicaid data.

Operational tenure is long-standing: the NPI was enumerated on 2007-05-04 (~19 years ago), which, combined with the provider's top-state percentile placements on several codes, supports that this is an established regional hospital with entrenched emergency services. The combination of long tenure and high percentile ranks for core ED codes points to sustained demand and an institutional role as a regional ED hub.

Beyond ED E/M dominance, the provider shows notable rank outliers in a few other procedure types that reflect breadth of acute services. Examples include 27096 (1.6K claims, $185.2K, 0.3%) ranking #2 of 23 providers in-state (95th percentile; notably above typical state volume) and 81025 (14.8K claims, $118.5K, 0.2%) ranking #18 of 574 (97th percentile; notably above typical state volume), implying the facility performs a range of image-guided injections and high-volume point-of-care testing in support of its ED and outpatient workflows.

Medicaid: Complete Services Breakdown

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

121 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	81,850	$250	$20.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	70,700	$240	$16.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	32,450	$230	$7.6M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	20,510	$160	$3.3M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	26,610	$40	$1M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	21,980	$40	$791.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27,580	$20	$661.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30,410	$20	$577.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	51,080	$10	$510.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,910	$60	$507.6K

Showing 1–10 of 121

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

The Charlotte-mecklenburg Hospital Authority — 7 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

121 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	19	330	6,130	$130	$2.7M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	34	160	840	$70	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15	320	6,160	$120	$2.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	99	110	1,450	$110	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26	280	2,690	$130	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	348	640	4,280	$60	$983.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	192	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	121	190	530	$20	$635.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	121	190	560	$20	$609.8K

Showing 1–10 of 121

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
What Matters Most	NC	Community/Behavioral Health Agency	$0	$37.8M
Eventus Wholehealth, PLLC	NC	Family Medicine Physician	$0	$26.6M
Walkers Home Care	NC	Case Management Agency	$0	$23.3M
Greater Home Health Services LLC	NC	Nursing Care Agency	$0	$13.6M
Mcleod Centers For Wellbeing	NC	Community/Behavioral Health Agency	$91.3K	$11.4M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$9.9M
Community Specialized Services, Inc.	NC	Foster Care Agency	$0	$9.2M
Epiphany Family Services, LLC	NC	Community/Behavioral Health Agency	$0	$8.7M
Gateway Ambulatory Surgery Center, LLC	NC	Clinic/Center	$1.3M	$2.7M
Eye Surgery And Laser Clinic, Inc.	NC	Ambulatory Surgical Clinic/Center	$768.8K	$0

The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data

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The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data

Sign up for The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$58.1M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$38.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.7M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M
Arman Farr	SC	Retina Specialist (Ophthalmology) Physician	$2M	$0