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.

Cary Pediatric Center PA (NPI 1790817963)

Cary Pediatric Center PA is a pediatrics physician provider located in Cary, North Carolina. This profile covers 0 Medicare and 75 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	Cary Pediatric Center PA
Address	1001 Crescent Green Dr
City	Cary
State	NC
ZIP	27518
Taxonomy	Pediatrics Physician
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	462,610	$10	$2.8M
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…	43,980	$60	$2.7M
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…	21,200	$90	$1.9M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	32,030	$40	$1.2M
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…	8,750	$90	$796.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,820	$90	$627.8K
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…	4,600	$90	$395.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,830	$100	$285.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	18,180	$10	$163.6K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	3,990	$30	$135.6K

Showing 1–10 of 75

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

Cary Pediatric Center PA — 11 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	64	2,850	10,910	$10	$330.3K
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…	169	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…	108	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…	47	550	970	$90	$258.9K
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…	78	4,130	670	$50	$219.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	48	590	490	$90	$179.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10	380	460	$40	$173.1K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	55	60	190	$40	$118.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	71	530	270	$90	$112.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	418	610	1,000	$10	$94.2K

Showing 1–10 of 75

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Brady	NC	Urology Physician	$144.4K	$0
Karyl Noonan	NC	Physician Assistant	$105.5K	$0
Benjamin Thomas	NC	Neurology Physician	$85.1K	$0
Christian Selby	NC	Physician Assistant	$73.9K	$0
Nadine Skinner	NC	Family Medicine Physician	$72.9K	$0
David Duvernois	NC	Physician Assistant	$68.4K	$0
James Fitch	NC	Physician Assistant	$56.6K	$0
Robert Yapundich	UT	Neurology Physician	$55.4K	$0
Chanson Devaul	NC	Family Medicine Physician	$40.4K	$0
Jacob Klapper	SC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$40.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspirar Medical Lab LLC	NC	Clinical Medical Laboratory	$73.6K	$12.4M
Bilal Agha	NC	Rheumatology Physician	$1.2M	$0
Siddhartha Rao	NC	Interventional Cardiology Physician	$944.7K	$0
Sung-eun Yoo	NC	Endocrinology, Diabetes & Metabolism Physician	$824.4K	$0
Amit Kumar	NC	Ophthalmology Physician	$672.3K	$0
Amit Jangam	NC	Family Medicine Physician	$568.4K	$0
Pavlo Netrebko	NC	Clinical Cardiac Electrophysiology Physician	$497.1K	$0
Thomas Howard	NC	Sports Medicine (Family Medicine) Physician	$401K	$0
Rama Garimella	NC	Cardiovascular Disease Physician	$396K	$0
Alan Nadour	NC	Cardiovascular Disease Physician	$316.4K	$0

Cary Pediatric Center PA — Billing Profile & Reimbursement Data

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Cary Pediatric Center 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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