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.

New Hanover Regional Medical Center (NPI 1548216880)

New Hanover Regional Medical Center is a general acute care hospital provider located in Wilmington, North Carolina. This profile covers 0 Medicare and 180 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	New Hanover Regional Medical Center
Address	2131 S 17th St
City	Wilmington
State	NC
ZIP	28401
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

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

180 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	32,320	$260	$8.3M
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.	44,810	$140	$6.1M
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.	4,560	$390	$1.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50,880	$20	$763.2K
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…	15,330	$20	$352.5K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1,200	$290	$351K
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…	17,920	$20	$340.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	540	$590	$315.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	730	$410	$296.3K
G0378	Hospital observation service, per hour	5,360	$50	$289.3K

Showing 1–10 of 180

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

New Hanover Regional Medical Center — 1 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

180 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.	53	330	6,130	$130	$2.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	9	30	170	$260	$2.6M
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.	34	320	6,160	$120	$2.1M
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.	122	280	2,690	$130	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	42	80	420	$30	$1.2M
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	34	40	220	$60	$920.5K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17	40	420	$1,080	$841K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	8	30	470	$50	$640.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	33	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.	33	190	560	$20	$609.8K

Showing 1–10 of 180

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Novant Health New Hanover Regional Medical Center LLC	NC	General Acute Care Hospital	$0	$57.5M
Novant Health New Hanover Regional Medical Center LLC	NC	Ambulance	$6.1M	$2.7M
Gregory Bebb	NC	Surgery Physician	$289.4K	$0
Meena Rao	NC	Clinical Cardiac Electrophysiology Physician	$238.8K	$0
George Mcleod	NC	Cardiovascular Disease Physician	$228.2K	$0
Taylor Bazemore	NC	Clinical Cardiac Electrophysiology Physician	$216.5K	$0
Kristopher Swiger	NC	Cardiovascular Disease Physician	$208.5K	$0
William Smith	NC	Clinical Cardiac Electrophysiology Physician	$173.7K	$0
Alex Snyder	NC	Cardiovascular Disease Physician	$171.2K	$0
Howard Marks	NC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$163.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Family Services	NC	Community/Behavioral Health Agency	$0	$15.3M
Care Providers Of Wilmington	NC	Home Health Agency	$0	$10M
Wilmington Health PLLC	NC	Pediatrics Physician	$0	$10M
Ecep Ii PA	NC	Emergency Medicine Physician	$0	$9.7M
Coastal Horizons Center Inc.	NC	Community/Behavioral Health Agency	$0	$8.7M
New Hanover Community Health Center Incorporated	NC	Federally Qualified Health Center (FQHC)	$0	$8.5M
Kidzcare Pediatrics, PC	NC	Pediatrics Physician	$0	$8.2M
Rha Health Services, Inc	NC	Community/Behavioral Health Agency	$0	$7.5M
Wilmington Surgery Center, LP	NC	Ambulatory Surgical Clinic/Center	$3.7M	$1.1M
Wilmington Eye Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$3.9M	$72K

New Hanover Regional Medical Center — Billing Profile & Reimbursement Data

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New Hanover Regional Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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