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.

Carolinaeast Medical Center (NPI 1801852835)

Carolinaeast Medical Center is a general acute care hospital provider located in New Bern, North Carolina. This profile covers 0 Medicare and 178 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	Carolinaeast Medical Center
Address	2000 Neuse Blvd
City	New Bern
State	NC
ZIP	28560
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$22.9M
Medicare	$0

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

178 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.	29,510	$150	$4.4M
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.	19,470	$190	$3.6M
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.	29,830	$110	$3.1M
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.	4,150	$550	$2.3M
0241U	N/A	5,450	$160	$856.1K
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.	3,830	$160	$597.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,510	$370	$564.3K
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…	5,860	$70	$427.9K
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	6,420	$70	$423.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,400	$30	$388.8K

Showing 1–10 of 178

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

Carolinaeast Medical Center — 1 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

178 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	7	10	200	$1,440	$3.6M
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.	62	330	6,130	$130	$2.7M
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…	27	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.	57	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.	50	280	2,690	$130	$1.6M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	116	170	2,470	$140	$1.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	40	420	$1,080	$841K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	87	140	2,410	$110	$686.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	39	190	530	$20	$635.1K

Showing 1–10 of 178

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kent Lucas	NC	Internal Medicine Physician	$475.5K	$0
Matthew Levine	NC	Cardiovascular Disease Physician	$460.9K	$0
Warren Murray	NC	Internal Medicine Physician	$417.1K	$0
Michael Fujimagari	NC	Internal Medicine Physician	$351.4K	$0
Kevin French	NC	Internal Medicine Physician	$294.2K	$0
Laurance Farmer	NC	Cardiovascular Disease Physician	$240.7K	$0
Kristina Rowe	NC	Internal Medicine Physician	$196.9K	$0
Christopher Atkinson	NC	Internal Medicine Physician	$58.1K	$0
Cindy Schofield	NC	Certified Registered Nurse Anesthetist	$43.5K	$0
Joseph Parrish	NC	Certified Registered Nurse Anesthetist	$43.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craven County	NC	State or Local Public Health Clinic/Center	$0	$10.8M
Human Resources Unlimited, Inc.	NC	Mental Health Counselor	$0	$7.3M
Craven County	NC	Land Ambulance	$632.1K	$1.5M
Scott Mcclellan	NC	Dermatopathology Physician	$1.5M	$0
Sean Murphy	NC	Dermatology Physician	$1.1M	$0
James Polo	NC	Dermatology Physician	$966.5K	$0
Mark Sinning	NC	Surgery Physician	$639.3K	$0
Brian Theune	NC	Surgery Physician	$434.6K	$0
Kirk Harum	NC	Pain Medicine (Anesthesiology) Physician	$337.9K	$790
Catherine Pollard	NC	Physician Assistant	$325.6K	$0

Carolinaeast Medical Center — 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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