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    OpenPayerNPI Medicare & MedicaidVicente Hill
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    Vicente Hill — Billing Profile & Reimbursement Data

    NPI 1578527636 · Franklin, NC · Emergency Medicine Physician

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    Vicente Hill is a emergency medicine physician provider located in Franklin, North Carolina. This profile covers 3 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVicente Hill
    AddressRiverview White Oak St
    CityFranklin
    StateNC
    ZIP28734
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedApril 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$303.6K
    Medicare$55.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.330$90$29.9K
    99285The 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.160$140$21.8K
    99283The 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.80$50$4.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992856562,210110$130$16.9K
    9928432,19060$80$6K
    992833381020$50$1.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.11,020$20$220.5K
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.6,720$10$67.2K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…310$10$3.1K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.420$10$2.5K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.570$1$2.3K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.980$1$2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.640$1$1.3K
    80275N/A60$0$0

    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.

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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.130570190$70$92.9K
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.620890$10$38.4K
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.170210$20$20.8K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.280570390$10$14.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4901,220400$1$14.5K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…168320350$10$11.9K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.45040$1$350
    80275N/A11060$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vicente Hill, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    Emergency Medicine Physicians Of Mecklenburg County, PLLCNCEmergency Medicine Physician$0$43.1M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M

    Nearby Providers

    Other providers in the same ZIP code as Vicente Hill, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mh Angel Medical Center, LllpNCCritical Access Hospital$0$7.1M
    County Of MaconNCAmbulance$635.7K$653.2K
    Western Carolina Endoscopy Center, LLCNCAmbulatory Surgical Clinic/Center$409.1K$17.9K
    Versi AruwaniNCInternal Medicine Physician$266.8K$0
    Lauren AveryNCPhysical Therapist$247.9K$0
    Timothy BleckleyNCFamily Medicine Physician$201.7K$0
    Kit HelmNCFamily Medicine Physician$166.8K$0
    Randall PhillipsNCPhysical Therapist$117.1K$0
    Sondra WolfNCFamily Medicine Physician$115.1K$0
    John KrempeckiNCOptometrist$92.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Vicente Hill — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Vicente Hill — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina