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.

Holly Nichols (NPI 1689089013)

Field	Value
Entity Type	Individual
Organization	Holly Nichols
Address	2301 Erwin Road, Duke University Hospital North
City	Durham
State	NC
ZIP	27710
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 24, 2014

Payer Source	Total Paid
Medicare	$72.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	600	$40	$21.7K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	200	$70	$13.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,400	$10	$9.8K
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…	990	$10	$8K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	160	$40	$6.6K
71271	The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.	120	$50	$6.2K
74174	In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…	50	$80	$3.7K
76376	In this procedure, the provider performs 3D rendering for computed tomography magnetic resonance imaging, ultrasound, or another tomographic modality, typically for diagnostic purposes, with…	490	$10	$3.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Holly Nichols — 4 of 8 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. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
71275	49	680	60	$70	$5.5K
71250	8	740	70	$50	$4.8K
71260	97	700	60	$50	$4.1K
71271	37	410	40	$70	$3.8K
74174	79	330	30	$100	$3.4K
71045	36	860	330	$10	$3K
71046	20	2,300	40	$10	$1.2K
76376	7	250	30	$10	$630

Nearby Providers

Other providers in the same ZIP code as Holly Nichols, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Private Diagnostic Clinic, PLLC	NC	General Practice Physician	$0	$46.5M
Duke University Health System, Inc.	NC	General Acute Care Hospital	$0	$44.4M
Duke Health Integrated Practice, Inc.	NC	General Practice Physician	$0	$36.3M
Michael Allingham	NC	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Jonathan Cook	NC	Dermatology Physician	$1.6M	$0
Tywana Donaldson	NC	Nurse Practitioner	$1.4M	$0
Pretesh Patel	NC	Radiation Oncology Physician	$668.8K	$0
Pedro Vargas	NC	Diagnostic Radiology Physician	$439.5K	$0
Michael Rehorn	NC	Student in an Organized Health Care Education/Training Program	$369.4K	$0
Christopher Brown	NC	Orthopaedic Surgery Physician	$360.8K	$0

Holly Nichols — Billing Profile & Reimbursement Data

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Holly Nichols — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References