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.

Vance Family Medicine, PA (NPI 1619938479)

Field	Value
Entity Type	Organization
Organization	Vance Family Medicine, PA
Address	381 Ruin Creek Rd
City	Henderson
State	NC
ZIP	27536
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	228,140	$70	$16.2M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	386,230	$10	$1.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,470	$70	$592.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,550	$80	$491.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,260	$70	$389.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,140	$70	$375.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	8,300	$40	$323.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	12,220	$10	$134.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	8,210	$10	$98.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	7,560	$10	$60.5K

Showing 1–10 of 120

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

Vance Family Medicine, PA — 10 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	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.	80	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…	2,726	4,400	960	$60	$271.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	51	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	73	550	970	$90	$258.9K
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…	1,727	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…	187	340	260	$60	$187.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	72	590	490	$90	$179.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	56	380	460	$40	$173.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	32	530	270	$90	$112.8K

Showing 1–10 of 120

Nearby Providers

Other providers in the same ZIP code as Vance Family Medicine, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dlp Maria Parham Medical Center LLC	NC	General Acute Care Hospital	$0	$19.1M
Beyond Challenges Community Services LLC	NC	Preferred Provider Organization	$0	$10.7M
Vance Recovery, PC	NC	Methadone Clinic	$110.6K	$10.5M
Cornelius F. Cathcart, Pediatrics,pa	NC	Pediatrics Physician	$0	$9.2M
Rhonda L Kearney, Dds, Ms, PLLC	NC	Pediatric Dentistry	$0	$7.8M
County Of Vance Office Of Treasurer	NC	Land Ambulance	$376.9K	$2M
Ashish Singh	NC	Critical Care Medicine (Internal Medicine) Physician	$176.6K	$236.9K
Mast Drug Co Inc	NC	Community/Retail Pharmacy	$308.3K	$5.9K
Tariq Abo-kamil	NC	Nephrology Physician	$156K	$0
Gary Smith	NC	Family Medicine Physician	$70.4K	$0

Vance Family Medicine, PA — Billing Profile & Reimbursement Data

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Vance Family Medicine, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References