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 1639172869)

Field	Value
Entity Type	Organization
Organization	Cumberland County Hospital System Inc
Address	1638 Owen Dr
City	Fayetteville
State	NC
ZIP	28304
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicaid	$75.8M
Medicare	$0

Key Findings

CUMBERLAND COUNTY HOSPITAL SYSTEM INC has no Medicare billing on file and reports $75.8M in lifetime Medicaid revenue, making Medicaid the effectively exclusive public payer in the dataset for this provider. This single-payer footprint in the public programs suggests analyses and contract negotiations should focus on Medicaid utilization and rates rather than Medicare comparisons.

Revenue for Medicaid is highly concentrated in emergency department E/M codes: 99283 accounts for $22.1M (32.5% of Medicaid revenue), 99284 accounts for $15M (22.0%), and 99282 accounts for $8.4M (12.4%), with the top three codes comprising 66.8% of total Medicaid revenue. That level of concentration indicates a dependency on ED services as the primary revenue driver and elevates financial sensitivity to ED volume and reimbursement changes.

The code mix and high volumes (e.g., 140.8K claims for 99283 at $157 avg paid/claim, 100.3K claims for 99282 at $84 avg paid/claim) characterize the site as a high-throughput acute care hospital with an operational focus on emergency care and associated throughput services. Prominent related codes—G0463 (70.5K claims) and G0378 (10K claims, $267 avg paid/claim)—corroborate substantial outpatient clinic and observation-unit activity tied to ED throughput.

State competitive standing for ED services is dominant: 99282 ranks #1 of 154 providers in-state (100th percentile; extreme outlier) and 99283 ranks #3 of 316 (99th percentile; extreme outlier), while 99284 ranks #20 of 325 (94th percentile). These ranks indicate this hospital is an unusually large provider of low- and moderate-acuity ED visits within the state and a major regional ED center compared with peers.

Beyond core ED E/M activity, the provider shows extreme or notable statewide concentration in several ancillary and procedure codes that support high patient volumes: 93005 ranks #2 of 136 (99th percentile; extreme outlier), 96372 ranks #2 of 793 (100th percentile; extreme outlier), J3490 ranks #1 of 158 (100th percentile; extreme outlier), and 96413 ranks #2 of 64 (98th percentile; extreme outlier). This pattern signals substantial technical/service-line throughput for ECGs, injections/infusions, unclassified drug billing, and chemotherapy administration.

Imaging and maternal-fetal services are material components of the outpatient mix: 70450 contributes $1.1M, 76811 contributes $1M, 76816 contributes $674.2K, and 76819 contributes $476.7K to Medicaid revenue. These figures suggest the hospital maintains active diagnostic radiology and obstetric ultrasound capabilities that complement ED and outpatient care lines.

Several high-volume lab and clinic codes reflect broad outpatient diagnostic and primary care activity tied to the hospital: 80053 appears with 114.1K claims ($913.2K), 99213 with 38K claims ($911.2K), and 99214 with 33.7K claims ($876.9K), each ranking in high percentiles statewide. These volumes imply integrated lab and ambulatory evaluation services that support the ED and post-ED care continuum rather than narrow specialty clinics alone.

The provider’s NPI was enumerated on 2005-05-23 (~21 years ago), indicating a long-established presence in Fayetteville. Combined with the extreme outlier status on multiple ED and ancillary codes, the tenure and utilization profile point to a stable, high-capacity regional acute care hospital that is a major Medicaid service provider in-state.

Medicaid: Complete Services Breakdown

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

243 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	140,810	$160	$22.1M
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.	70,380	$210	$15M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	100,260	$80	$8.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	70,520	$40	$2.9M
G0378	Hospital observation service, per hour	10,000	$270	$2.7M
0241U	N/A	16,740	$150	$2.5M
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.	5,530	$280	$1.5M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	59,570	$20	$1.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	5,130	$210	$1.1M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	5,580	$180	$1M

Showing 1–10 of 243

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 — 13 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

243 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.	20	330	6,130	$130	$2.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	18	30	170	$260	$2.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	54	160	840	$70	$2.3M
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.	3	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.	114	280	2,690	$130	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	15	80	420	$30	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	468	640	4,280	$60	$983.2K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	54	70	280	$20	$896.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	64	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	90	4,210	$30	$676.8K

Showing 1–10 of 243

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cumberland County Hospital System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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	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

Nearby Providers

Other providers in the same ZIP code as Cumberland County Hospital System Inc, ranked by combined Medicare and Medicaid revenue.

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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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References