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 1588668396)

Cumberland County Hospital System Inc is a internal medicine physician provider located in Fayetteville, North Carolina. This profile covers 0 Medicare and 36 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	1638 Owen Dr
City	Fayetteville
State	NC
ZIP	28304
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	128,750	$30	$4.4M
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…	12,090	$100	$1.1M
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…	20,770	$50	$1.1M
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…	9,200	$50	$478.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,050	$60	$422.8K
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…	4,230	$40	$148.1K
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…	3,150	$20	$56.7K
99220	N/A	620	$90	$54.2K
99204	The provider sees a new 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 provider…	620	$70	$41.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	820	$50	$41K

Showing 1–10 of 36

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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	496	530	2,970	$100	$964.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,096	2,850	10,910	$10	$330.3K
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…	1,008	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…	983	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…	15	340	260	$60	$187.4K
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…	1	510	480	$40	$166.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	140	140	150	$120	$128.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	277	300	140	$130	$121.5K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	94	110	170	$150	$92K
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…	4	280	130	$90	$80.9K

Showing 1–10 of 36

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	Psychiatry Physician	$0	$8.7M
Cumberland County Hospital System Inc	NC	Case Management Agency	$0	$7.7M
Sanjay Garg	NC	Rheumatology Physician	$1.7M	$0
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
Divyang Patel	NC	Interventional Cardiology Physician	$436.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.8M
Valleygate Dental Surgery Center Of Fayetteville, LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.5M
Cfvhs Ed Physicians	NC	Emergency Medicine Physician	$0	$26.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$14.2M
Pediatric Developmental Therapy	NC	Speech-Language Pathologist	$0	$12.1M
Calvary Pediatrics	NC	Pediatrics Physician	$0	$7.8M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$7.6M
Chauncy Nelson	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.4M
Fayetteville Ambulatory Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$1.4M	$2.2M
Carolina Imaging LLC Of Fayetteville	NC	Diagnostic Radiology Physician	$849.2K	$1.8M

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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