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.

Firsthealth Of The Carolinas, Inc. (NPI 1740208081)

Field	Value
Entity Type	Organization
Organization	Firsthealth Of The Carolinas, Inc.
Address	155 Memorial Dr
City	Pinehurst
State	NC
ZIP	28374
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$61.5M
Medicare	$0

Key Findings

FIRSTHEALTH OF THE CAROLINAS, INC. effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file and total Medicaid revenue is $61.5M, indicating heavy reliance on Medicaid as the primary payer. This single-payer concentration raises payer-mix sensitivity for revenue forecasting and contract negotiations.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 40.7% of the provider's total Medicaid revenue, signaling that a few high-volume service lines (primarily emergency department visits and abdominal CT imaging) drive a large share of dollars. Business planning should therefore prioritize capacity and reimbursement for those top codes.

Emergency department care is a core service line. Codes 99284 ($8M, 18.0% of Medicaid revenue) and 99283 ($6M, 13.5%) are among the largest revenue contributors and the provider ranks #13 of 325 (96th percentile) and #7 of 316 (98th percentile) in-state respectively, with 99283 labeled an "extreme outlier". The presence of 99285 ($2.5M, 5.7%) further shows a full acuity mix (low-to-high decision making) consistent with a busy ED handling both moderate and higher-complexity presentations.

High-volume imaging and contrast utilization support the ED-driven model: 74177 (CT abdomen/pelvis with contrast, $4M, 9.1%) ranks #23 of 157 (86th percentile) and 70450 (CT head without contrast, $1.7M, 4.0%) ranks #22 of 168 (87th percentile). Additionally, Q9967 (contrast material) is ranked #1 of 127 (100th percentile), an extreme outlier, which corroborates above-average CT throughput relative to in-state peers.

Infusion and procedure administration volumes are markedly elevated relative to peers and reinforce an acute-care/ED treatment profile: 96361 (IV fluids hourly, $2.1M, 4.7%) ranks #1 of 104 (100th percentile, extreme outlier), 96374 (IV push, $1.6M) ranks #2 of 118 (99th percentile), and 96375 ($1.6M) ranks #1 of 113 (100th percentile). These rankings indicate unusually high utilization of IV therapies and short-course procedural care compared with other NC Medicaid providers.

Laboratory testing and basic diagnostics show very high claim counts but modest revenue share, consistent with high patient throughput: 80053 (CMP, 95.4K claims, $858.3K, 1.9%) and 85025 (CBC, 118.3K claims, $828K, 1.9%) both rank in the 96th–99th percentile in-state. COVID testing (U0003, 39.5K claims, $3.4M, 7.7%) is also a meaningful revenue contributor and ranks #12 of 158 (93rd percentile), reflecting substantial diagnostic volume linked to acute care demand.

The provider’s competitive positioning in North Carolina is strong for several procedural categories: multiple codes are top-ranked statewide (for example, 96361 #1 of 104, 96375 #1 of 113, Q9967 #1 of 127, and 11045 #1 of 18 at 100th percentile), which signals dominance in infusion, contrast use, and select wound-debridement services within the Medicaid population. At the same time, several high-revenue ED and imaging codes sit in the high percentiles (86th–98th), indicating major market share for acute services but not universal dominance across every modality.

FIRSTHEALTH has an established operational history—NPI enumerated 2006-07-17 (~20 years ago)—which, together with the ED-heavy and high-imaging/infusion code mix, suggests a long-standing community acute-care hospital whose Medicaid revenue profile is driven by emergency, imaging, and infusion services rather than elective or outpatient specialty lines.

Medicaid: Complete Services Breakdown

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

474 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	107,630	$70	$8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	108,320	$60	$6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,830	$590	$4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	39,490	$90	$3.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	27,860	$90	$2.5M
0241U	N/A	13,680	$150	$2.1M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	34,600	$60	$2.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,180	$190	$1.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	46,540	$40	$1.6M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	30,540	$50	$1.6M

Showing 1–10 of 474

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

Firsthealth Of The Carolinas, Inc. — 15 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

474 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	13	330	6,130	$130	$2.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	24	30	170	$260	$2.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	12	160	840	$70	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7	320	6,160	$120	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	32	280	2,690	$130	$1.6M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	164	170	2,470	$140	$1.2M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	35	80	420	$30	$1.2M
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…	20	40	220	$60	$920.5K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	20	70	280	$20	$896.7K
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.	76	360	1,830	$40	$819.8K

Showing 1–10 of 474

Related Providers

Other providers that share a Tax Identification Number (TIN) with Firsthealth Of The Carolinas, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Williams	NC	Orthopaedic Surgery of the Spine Physician	$1.2M	$0
Kishore Rasamallu	GA	Internal Medicine Physician	$1M	$0
Mahmoud Atieh	NC	Interventional Cardiology Physician	$649.6K	$0
Christopher Tracy	NC	Rheumatology Physician	$485.7K	$0
Kurt Wohlrab	NC	Orthopaedic Surgery Physician	$415.7K	$0
Bryan Barnes	GA	Neurological Surgery Physician	$398.9K	$0
David Reisman	NH	Hematology & Oncology Physician	$366.8K	$0
John Moore	NC	Orthopaedic Surgery Physician	$351.7K	$0
Robert Deucher	NC	Internal Medicine Physician	$323.7K	$0
David Casey	NC	Adult Reconstructive Orthopaedic Surgery Physician	$304K	$0

Nearby Providers

Other providers in the same ZIP code as Firsthealth Of The Carolinas, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandhills Emergency Physicians PA	NC	Emergency Medical Services (Emergency Medicine) Physician	$0	$21.1M
Speech Connections, LLC	NC	Occupational Therapist	$0	$19.5M
Solas Health PLLC	NC	Anesthesiology Physician	$0	$13.4M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$123.2K	$7.4M
Surgery Center Of Pinehurst, LLC	NC	Ambulatory Surgical Clinic/Center	$2M	$812.9K
Pinehurst Medical Clinic, Inc.	NC	Ambulatory Surgical Clinic/Center	$1.4M	$985.2K
Cedar Malone	NC	Dermatology Physician	$1.1M	$0
Sarah Vieta	NC	MOHS-Micrographic Surgery Physician	$792.3K	$0
Leah Hershman	NC	Vascular Surgery Physician	$543.2K	$0
Alexander Lemons	NC	Orthopaedic Surgery of the Spine Physician	$533.6K	$0

Firsthealth Of The Carolinas, Inc. — Billing Profile & Reimbursement Data

Sign up for Firsthealth Of The Carolinas, Inc. — Billing Profile & Reimbursement Data policy alerts

Firsthealth Of The Carolinas, Inc. — Billing Profile & Reimbursement Data

Sign up for Firsthealth Of The Carolinas, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References