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.

Carolina Rehabilitation And Surgical Associates, PA (NPI 1518913656)

Field	Value
Entity Type	Organization
Organization	Carolina Rehabilitation And Surgical Associates, PA
Address	3000 New Bern Ave
City	Raleigh
State	NC
ZIP	27610
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	2,840	$970	$2.8M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	58,970	$40	$2.5M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	91,820	$20	$1.9M
J0475	Injection, baclofen, 10 mg	510	$360	$183.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	4,940	$30	$158.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,090	$100	$106.5K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	1,850	$50	$85.1K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	1,250	$60	$77.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	5,960	$10	$65.6K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	1,200	$50	$64.7K

Showing 1–10 of 24

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

Carolina Rehabilitation And Surgical Associates, PA — 6 of 21 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	1	20	170	$860	$527.4K
J0475	Injection, baclofen, 10 mg	3	10	510	$760	$440.9K
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…	1,425	4,130	670	$50	$219.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7	510	480	$40	$166.3K
J3490	Unclassified drugs	133	160	2,850	$10	$165.6K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	3	10	390	$100	$90.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3	190	670	$20	$82.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	53	280	130	$90	$80.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	168	200	280	$60	$75.3K
62370	The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…	3	10	1,120	$70	$73.7K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carolina Rehabilitation And Surgical Associates, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick O'brien	NC	Physical Medicine & Rehabilitation Physician	$910.2K	$0
Wing Ng	NC	Physical Medicine & Rehabilitation Physician	$258.3K	$0
Karyl Noonan	NC	Physician Assistant	$105.5K	$0
Adam Creech	NC	Internal Medicine Physician	$104.5K	$0
Kelli Armwood-bryant	NC	Adult Health Nurse Practitioner	$101.2K	$0
Healy Lawson	NC	Family Medicine Physician	$89.8K	$0
David Castle	NC	Medical Physician Assistant	$81.8K	$0
Chelsea Lane	NC	Physician Assistant	$62.3K	$0
Wesley Bland	NC	Physician Assistant	$59.7K	$0
Heather Pfeil	NC	Physician Assistant	$56.7K	$0

Nearby Providers

Other providers in the same ZIP code as Carolina Rehabilitation And Surgical Associates, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wakemed	NC	General Acute Care Hospital	$0	$140.8M
Carolina Outreach, LLC	NC	Community/Behavioral Health Agency	$0	$38M
County Of Wake	NC	State or Local Public Health Clinic/Center	$0	$26.4M
Southlight Healthcare	NC	Community/Behavioral Health Agency	$124.4K	$24.4M
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$24.3M
Wake Specialty Physicians, LLC	NC	Surgery Physician	$0	$14.8M
Surgical Center For Dental Professionals Of Nc LLC	NC	Ambulatory Surgical Clinic/Center	$0	$11M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.8M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Family First Personal Care	NC	In Home Supportive Care Agency	$0	$9.5M

Carolina Rehabilitation And Surgical Associates, PA — Billing Profile & Reimbursement Data

Sign up for Carolina Rehabilitation And Surgical Associates, PA — Billing Profile & Reimbursement Data policy alerts

Carolina Rehabilitation And Surgical Associates, PA — Billing Profile & Reimbursement Data

Sign up for Carolina Rehabilitation And Surgical Associates, PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References