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.

County Of Wake (NPI 1801957576)

Field	Value
Entity Type	Organization
Organization	County Of Wake
Address	200 Swinburne St
City	Raleigh
State	NC
ZIP	27610
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

133 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.	2,580,850	$10	$12.9M
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…	19,780	$80	$1.6M
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…	9,500	$120	$1.2M
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	13,360	$60	$775.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	50,550	$10	$707.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	26,160	$30	$680.2K
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…	7,070	$90	$643.7K
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…	6,180	$90	$531.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,010	$90	$470.5K
D0120	Periodic oral evaluation - established patient	15,540	$30	$466.1K

Showing 1–10 of 133

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

County Of Wake — 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	89	100	400	$10	$440.2K
D2930	N/A	162	260	710	$140	$426.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	4	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…	472	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…	65	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…	81	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…	203	4,130	670	$50	$219.9K
D2392	Post 2 surface resin‑based composite	203	940	660	$100	$205.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	78	590	490	$90	$179.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	9	30	50	$670	$126.6K

Showing 1–10 of 133

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Wake	NC	Land Ambulance	$7.8M	$27.6M
Jose Cabanas-rivera	NC	Emergency Medicine Physician	$12K	$0

Nearby Providers

Other providers in the same ZIP code as County Of Wake, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wakemed	NC	General Acute Care Hospital	$0	$140.8M
Carolina Outreach, LLC	NC	Community/Behavioral Health Agency	$0	$38M
Southlight Healthcare	NC	Community/Behavioral Health Agency	$124.4K	$24.4M
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$24.3M
Wake Specialty Physicians, LLC	NC	Surgery Physician	$0	$14.8M
Surgical Center For Dental Professionals Of Nc LLC	NC	Ambulatory Surgical Clinic/Center	$0	$11M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.8M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Family First Personal Care	NC	In Home Supportive Care Agency	$0	$9.5M
Southeastern Healthcare Of North Carolina, Inc.	NC	Community/Behavioral Health Agency	$0	$8.2M

County Of Wake — Billing Profile & Reimbursement Data

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County Of Wake — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References