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.

Loralye Henderson (NPI 1598264301)

Loralye Henderson is a nurse practitioner provider located in Greenville, North Carolina. This profile covers 15 Medicare and 0 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)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Loralye Henderson
Address	2325 Stantonsburg Rd
City	Greenville
State	NC
ZIP	27834
Taxonomy	Nurse Practitioner
NPI Enumerated	February 7, 2018

Payer Source	Total Paid
Medicare	$27.3K
Medicaid	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	150	$40	$5.7K
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…	100	$50	$4.7K
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…	40	$80	$2.8K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	30	$80	$2.4K
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	10	$160	$2.3K
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	10	$190	$2.1K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	20	$80	$1.6K
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…	20	$70	$1.1K
22600	The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse…	10	$90	$1K
72050	In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…	30	$30	$840

Showing 1–10 of 15

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22612	45	70	20	$890	$18.8K
22633	58	60	20	$900	$16.2K
22614	11	90	50	$210	$15.5K
99214	14,402	18,060	110	$80	$15.1K
63047	70	150	20	$570	$13.1K
22600	11	10	20	$530	$10.6K
99232	5,587	5,690	70	$60	$8.1K
22842	8	100	20	$380	$7.6K
99213	6,337	16,320	70	$50	$7.1K
22853	143	170	30	$130	$5.2K

Loralye Henderson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References