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.

Afc Urgent Care And Family Care Of Wnc, PLLC (NPI 1679066658)

Afc Urgent Care And Family Care Of Wnc, PLLC is a urgent care clinic/center provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 25 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	Afc Urgent Care And Family Care Of Wnc, PLLC
Address	10102 Johnston Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	June 13, 2018

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,680	$100	$2.4M
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…	31,740	$60	$2M
99203	The provider sees a new 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 provider…	19,670	$70	$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…	19,100	$40	$840.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	26,660	$30	$826.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	17,550	$40	$719.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	54,380	$10	$598.2K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	17,250	$20	$293.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	14,980	$10	$164.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	3,990	$30	$103.8K

Showing 1–10 of 25

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

Afc Urgent Care And Family Care Of Wnc, PLLC — 8 of 19 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	87	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…	213	4,130	670	$50	$219.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	8	490	260	$40	$80.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	162	370	290	$10	$75.8K
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…	880	1,130	160	$80	$75.6K
99203	The provider sees a new 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 provider…	9	1,090	120	$60	$71.5K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	4	190	300	$30	$66.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	70	320	280	$60	$63.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	42	270	430	$30	$62.4K
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…	4	1,310	80	$90	$59.7K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wake Forest University Health Sciences	NC	Multi-Specialty Clinic/Center	$0	$188.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Wake Forest University Health Sciences	NC	Multi-Specialty Clinic/Center	$0	$11.9M
Keegan Harkins	NE	Ophthalmology Physician	$3.5M	$0
Jedediah Mcclintic	PA	Ophthalmology Physician	$3.2M	$18.9K
Claudia Hooten	TX	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Donald Vile	VA	Hematology & Oncology Physician	$1.4M	$0
Mark Nelson	NC	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0
Omar Sangueza	NC	Dermatopathology (Pathology) Physician	$810.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0

Afc Urgent Care And Family Care Of Wnc, PLLC — 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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