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.

Cumberland County Health Dept (NPI 1831249986)

Field	Value
Entity Type	Organization
Organization	Cumberland County Health Dept
Address	1235 Ramsey Street
City	Fayetteville
State	NC
ZIP	28301
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

94 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.	1,794,580	$10	$9M
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…	3,920	$100	$399.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,970	$10	$220.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9,090	$20	$200K
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…	2,540	$70	$178K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	5,300	$30	$148.5K
T1002	Rn services, up to 15 minutes	3,330	$40	$133K
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	1,430	$50	$67.1K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	530	$120	$62.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	2,260	$30	$58.9K

Showing 1–10 of 94

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

Cumberland County Health Dept — 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	26	70	280	$20	$896.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	50	190	530	$20	$635.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	50	190	560	$20	$609.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	7	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…	1,072	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…	511	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…	453	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…	1,141	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.	404	590	490	$90	$179.8K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	233	330	300	$10	$142.3K

Showing 1–10 of 94

Nearby Providers

Other providers in the same ZIP code as Cumberland County Health Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Precious Haven Inc.	NC	Psychiatric Residential Treatment Facility	$0	$19.9M
Carolina Outreach, LLC	NC	Community/Behavioral Health Agency	$0	$18M
Metrocorp Affiliates, Ltd	NC	Home Health Agency	$0	$14.3M
Kaleo Support, Inc.	NC	Community/Behavioral Health Agency	$0	$10.6M
Metrocorp Affiliates, Ltd.	NC	Home Health Agency	$0	$8.7M
Metro Treatment Of North Carolina L P	NC	Methadone Clinic	$131.1K	$5.1M
Blake Joeckel	NC	Physician Assistant	$142.2K	$0
Sasan Araghi	NC	Family Medicine Physician	$111.9K	$0

Cumberland County Health Dept — Billing Profile & Reimbursement Data

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Cumberland County Health Dept — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References