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.

Boice-willis Clinic PA (NPI 1699722389)

Boice-willis Clinic PA is a internal medicine physician provider located in Rocky Mount, North Carolina. This profile covers 0 Medicare and 153 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	Boice-willis Clinic PA
Address	901 N Winstead Ave
City	Rocky Mount
State	NC
ZIP	27804
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

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

153 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…	148,340	$60	$8.3M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	915,660	$10	$5.5M
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…	83,510	$50	$4.3M
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…	17,870	$90	$1.6M
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…	16,620	$80	$1.4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,620	$90	$1.2M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	45,510	$20	$819.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	24,560	$30	$761.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,240	$100	$529K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	14,040	$30	$463.2K

Showing 1–10 of 153

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

Boice-willis Clinic PA — 9 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

153 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80074	The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.	22	20	390	$20	$384.4K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	18	2,850	10,910	$10	$330.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	7	50	3,340	$40	$322.1K
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…	140	160	270	$10	$316.7K
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…	653	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…	8	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…	21	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…	15	550	970	$90	$258.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	157	290	1,720	$10	$248.2K
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…	23	4,130	670	$50	$219.9K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boice-willis Clinic, PA	NC	Clinical Medical Laboratory	$509.1K	$735.1K
Boice Willis Clinic PA	NC	Endoscopy Clinic/Center	$335.1K	$111.8K
Jeffrey Suchniak	NC	Dermatology Physician	$276.6K	$0
David Browder	NC	Internal Medicine Physician	$245K	$0
Darrina Milton	NC	Nurse Practitioner	$241.7K	$0
Nakshatra Saxena	NC	Nephrology Physician	$224.5K	$0
Sujani Poonuru	NC	Endocrinology, Diabetes & Metabolism Physician	$209.4K	$0
Douglas Slater	NC	Internal Medicine Physician	$194.2K	$0
Martha Chesnutt	NC	Internal Medicine Physician	$192.5K	$0
Priyank Desai	NC	Pulmonary Disease Physician	$182.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Educare Community Living Corporation - North Carolina	NC	Community/Behavioral Health Agency	$0	$69.3M
Nash Hospitals Inc	NC	General Acute Care Hospital	$0	$42.4M
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$8.8M
Opportunities Industrialization Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$8.1M
County Of Nash	NC	Land Ambulance	$1M	$2.3M
County Of Halifax	NC	Land Ambulance	$495.6K	$2.3M
Karn Gupta	NC	Nephrology Physician	$944.8K	$0
Aristides Assimacopoulos	NC	Infectious Disease Physician	$360.7K	$450.7K
Metz Medical Transport, Inc.	NC	Land Ambulance	$363.8K	$212.1K
Thomas Robertson	NC	Ophthalmology Physician	$528.3K	$0

Boice-willis Clinic PA — Billing Profile & Reimbursement Data

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Boice-willis 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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