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.

Herbert Whinna (NPI 1710074596)

Field	Value
Entity Type	Individual
Organization	Herbert Whinna
Address	101 Manning Dr
City	Chapel Hill
State	NC
ZIP	27599
Taxonomy	Clinical Pathology/Laboratory Medicine Physician
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicare	$40.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	1,250	$10	$16.2K
86334	The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.	1,180	$10	$15.4K
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	250	$30	$6.6K
84166	The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.	180	$10	$2.1K
86335	The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…	90	$10	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Herbert Whinna — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86334	11	40	140	$20	$25.4K
84165	13	40	190	$10	$20.1K
86335	11	20	90	$30	$10.2K
84166	10	20	130	$20	$9.9K
85390	1	10	130	$20	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Herbert Whinna, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Mathews	NC	Clinical Pathology/Laboratory Medicine Physician	$84.8K	$0
Georgette Dent	NC	Clinical Pathology/Laboratory Medicine Physician	$38K	$0
Karen Fritchie	MN	Anatomic Pathology & Clinical Pathology Physician	$37K	$0
Susan Maygarden	NC	Clinical Pathology/Laboratory Medicine Physician	$36.9K	$0
George Fedoriw	NC	Hematology (Pathology) Physician	$25K	$0
Alexei Mikhailov	NC	Anatomic Pathology Physician	$22.5K	$0
Karen Weck-taylor	NC	Clinical Pathology/Laboratory Medicine Physician	$21.3K	$0
Leigh Thorne	NC	Clinical Pathology/Laboratory Medicine Physician	$9.2K	$0
Yara Park	NC	Anatomic Pathology & Clinical Pathology Physician	$4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Zedek	NC	Dermatopathology (Pathology) Physician	$998.9K	$0
Jan Niklas Ulrich	NC	Ophthalmology Physician	$730.3K	$0
Daniel Cavanaugh	NC	Orthopaedic Surgery of the Spine Physician	$481K	$0
Jonathan Rindner	NC	Diagnostic Radiology Physician	$117.4K	$127.4K
John Varvarikos	NC	Diagnostic Radiology Physician	$225.6K	$0
Thomas Kesler	NC	Diagnostic Radiology Physician	$164.6K	$0
Ryan Stuckey	NC	Pain Medicine (Anesthesiology) Physician	$144.4K	$0
Keith Volmar	NC	Clinical Pathology/Laboratory Medicine Physician	$135.5K	$0
Justin Miller	NC	Otolaryngology Physician	$117.9K	$0
Harpreet Singh	NC	Nephrology Physician	$113K	$0

Herbert Whinna — Billing Profile & Reimbursement Data

Sign up for Herbert Whinna — Billing Profile & Reimbursement Data policy alerts

Herbert Whinna — Billing Profile & Reimbursement Data

Sign up for Herbert Whinna — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References