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.

Cumberland County Hospital System Inc (NPI 1578996252)

Cumberland County Hospital System Inc is a psychiatry physician provider located in Fayetteville, North Carolina. This profile covers 0 Medicare and 38 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	Cumberland County Hospital System Inc
Address	711 Executive Pl Fl 4
City	Fayetteville
State	NC
ZIP	28305
Taxonomy	Psychiatry Physician
NPI Enumerated	August 16, 2013

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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

38 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…	23,970	$80	$1.8M
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.	11,960	$110	$1.3M
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…	30,120	$40	$1.2M
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…	25,380	$50	$1.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,510	$70	$525.8K
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.	7,010	$80	$525.5K
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…	3,430	$120	$401.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,350	$50	$392.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,900	$60	$348.2K
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…	3,170	$70	$225.1K

Showing 1–10 of 38

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

Cumberland County Hospital System Inc — 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

38 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.	155	330	6,130	$130	$2.7M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	3	10	60	$780	$2.1M
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.	223	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.	78	280	2,690	$130	$1.6M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	194	1,710	810	$80	$274.5K
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…	138	4,400	960	$60	$271.3K
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…	129	4,130	670	$50	$219.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	41	340	260	$60	$187.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	152	200	670	$20	$167K
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…	22	510	480	$40	$166.3K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland County Hospital System Inc	NC	General Acute Care Hospital	$0	$75.8M
Cumberland County Hospital System Inc	NC	Ambulance	$4.3M	$19.7M
Cumberland County Hospital System Inc	NC	Internal Medicine Physician	$0	$8M
Cumberland County Hospital System Inc	NC	Case Management Agency	$0	$7.7M
Kristin Holbrook	NC	Nurse Practitioner	$982.5K	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Shilpa Sambidi	NY	Hematology & Oncology Physician	$847.8K	$39.4K
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rainbow Pediatrics Of Fayetteville	NC	Pediatrics Physician	$0	$21.4M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$172.2K	$12.9M
Haymount Institute For Psychological Services, PLLC	NC	Clinical Psychologist	$0	$12.2M
Divyang Patel	NC	Interventional Cardiology Physician	$436.9K	$0
David Stewart	NC	Internal Medicine Physician	$197.3K	$0
Sirisha Reddy	NC	Cardiovascular Disease Physician	$90.1K	$0
Todd Wilson	NC	Physical Therapist	$66.2K	$0
Amber Watkins	NC	Physician Assistant	$47.9K	$0
Lynn Huck	NC	Adult Health Nurse Practitioner	$42.4K	$0
Katrina Moss	NC	Psychologist	$10.2K	$0

Cumberland County Hospital System Inc — Billing Profile & Reimbursement Data

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Cumberland County Hospital System Inc — 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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