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.

First Care Medical Clinic, PA (NPI 1689635237)

First Care Medical Clinic, PA is a internal medicine physician provider located in Monroe, North Carolina. This profile covers 0 Medicare and 159 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	First Care Medical Clinic, PA
Address	404 S Sutherland Ave
City	Monroe
State	NC
ZIP	28112
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

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

159 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	46,070	$70	$3.1M
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…	45,380	$50	$2.3M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	224,770	$10	$1.3M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	5,020	$230	$1.1M
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4,150	$200	$813.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	19,620	$30	$627.9K
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.	9,980	$60	$598.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,380	$100	$522.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,300	$90	$386.8K
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…	2,490	$120	$308.6K

Showing 1–10 of 159

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

First Care Medical Clinic, PA — 12 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

159 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	15	40	220	$60	$920.5K
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.	72	360	1,830	$40	$819.8K
83013	The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining.	4	10	760	$30	$346.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	158	2,850	10,910	$10	$330.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	37	160	270	$10	$316.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	18	50	380	$10	$302.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,617	1,710	810	$80	$274.5K
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…	55	4,400	960	$60	$271.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	5	90	320	$160	$262.5K
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…	271	550	970	$90	$258.9K

Showing 1–10 of 159

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$38.1M
Tema Home Care Services LLC	NC	In Home Supportive Care Agency	$0	$12.5M
Shoreline Partners LLC	NC	Home Health Agency	$0	$8.2M
Carolinas Union Healthcare, Inc	NC	Land Ambulance	$1.5M	$4.5M
John Aycock	NC	Optometrist	$39K	$938.6K
Carolina Endoscopy Center Monroe	NC	Ambulatory Surgical Clinic/Center	$475.1K	$124.7K
George Popper	NC	Psychologist	$12.4K	$581.5K
Jens Eichhorn	NC	Cardiovascular Disease Physician	$506.8K	$0
Ivan Mac	NC	Ophthalmology Physician	$342.8K	$0
Vipul Shah	NC	Ophthalmology Physician	$323K	$0

First Care Medical Clinic, PA — Billing Profile & Reimbursement Data

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First Care Medical Clinic, 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

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Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alison Poole	WV	Physician Assistant	$584.9K	$0
Benedict Okwara	NC	Internal Medicine Physician	$280.8K	$0
Shazia Arain	NC	Internal Medicine Physician	$48K	$0