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    OpenPayerNPI Medicare & MedicaidDlp Haywood Regional Medical Center LLC.
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    Dlp Haywood Regional Medical Center LLC. — Billing Profile & Reimbursement Data

    NPI 1811158215 · Clyde, NC · General Acute Care Hospital

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    Dlp Haywood Regional Medical Center LLC. is a general acute care hospital provider located in Clyde, North Carolina. This profile covers 0 Medicare and 108 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDlp Haywood Regional Medical Center LLC.
    Address262 Leroy George Dr
    CityClyde
    StateNC
    ZIP28721
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 19, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    108 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.14,280$170$2.4M
    99284The 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.11,580$110$1.3M
    99283The 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.14,280$90$1.3M
    99213The 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…25,190$30$680K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…6,430$70$469.7K
    C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source9,210$30$258K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7,720$30$223.9K
    0241UN/A1,570$130$206.6K
    99214The 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…7,770$20$155.5K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.9,620$20$144.4K

    Showing 1–10 of 108

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    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.

    Full comparison — all codes billed, vs. North Carolina median

    108 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.1253306,130$130$2.7M
    U0003Infectious 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…59160840$70$2.3M
    99283The 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.1063206,160$120$2.1M
    99285The 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.662802,690$130$1.6M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…6316404,280$60$983.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3613601,830$40$819.8K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.4475202,870$70$721.7K
    G0463Hospital outpatient clinic visit for assessment and management of a patient55904,210$30$676.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.68190530$20$635.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.69190560$20$609.8K

    Showing 1–10 of 108

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dlp Haywood Regional Medical Center LLC., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dlp Western Carolina Physician Practices LLCNCInternal Medicine Physician$0$14M
    David PetersonNCCardiovascular Disease Physician$179.8K$0
    Michael MillerNCInterventional Cardiology Physician$94.8K$0
    Kelly McalvanyNCUrology Physician$74.8K$0
    Chona ReguyalNCFamily Medicine Physician$65.2K$0
    Danielle Hoo-fattVAGastroenterology Physician$62.6K$0
    Alexandra ChamberlainNCNurse Practitioner$36.1K$0
    Brooklyn GalyeanNCPhysician Assistant$31K$0
    Thomas MorrisseyNCNurse Practitioner$23.2K$0
    Audrey FortezzoNCPhysician Assistant$14.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Dlp Haywood Regional Medical Center LLC., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haywood Pediatric And Adolescent Medicine Group, P.A.NCPediatric Adolescent Medicine Physician$0$11.8M
    Bhg Xxxvii, LLCNCSubstance Use Disorder Rehabilitation Clinic/Center$84.2K$4.9M
    David MarkoffNCOphthalmology Physician$273K$0
    Michael MastersNCDermatology Physician$222.9K$0
    Clifford RiesterNCDiagnostic Radiology Physician$121.3K$0
    Najeeb GhaussyNCRheumatology Physician$102.6K$0
    Luke BidikovNCUrology Physician$74.4K$0
    Howard PalayNCNeurology Physician$58.3K$0
    Christopher WenzelNCSpecialist$58.3K$0
    Joshua RuddNCSurgery Physician$33.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Dlp Haywood Regional Medical Center LLC. — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina