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.

Wrmc Hospital Operating Corporation (NPI 1881614071)

Wrmc Hospital Operating Corporation is a general acute care hospital provider located in North Wilkesboro, 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.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Wrmc Hospital Operating Corporation
Address	1370 West D Street
City	North Wilkesboro
State	NC
ZIP	28659
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

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

108 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.	28,020	$130	$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.	20,280	$100	$2M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	6,370	$150	$949K
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.	1,400	$220	$309.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,420	$40	$259.6K
D2930	N/A	570	$410	$234.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	21,310	$10	$191.8K
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…	24,540	$10	$171.8K
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…	80	$2,230	$166.9K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	2,410	$70	$166.1K

Showing 1–10 of 108

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

Wrmc Hospital Operating Corporation — 0 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

108 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…	9	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.	68	330	6,130	$130	$2.7M
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.	85	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.	158	280	2,690	$130	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	36	40	420	$1,080	$841K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	241	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	58	90	4,210	$30	$676.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	115	150	860	$50	$586.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	14	80	750	$120	$449.7K
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.	118	160	490	$100	$435.6K

Showing 1–10 of 108

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rainelle Medical Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$14.3M
Hugh Chatham Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$9.4M
Navneet Sharma	PA	Internal Medicine Physician	$384.5K	$0
Joshua Leonard	IN	Interventional Cardiology Physician	$270.1K	$0
Manish Jain	NC	Clinical Cardiac Electrophysiology Physician	$192.6K	$0
Andrew Lee	NC	Dermatology Physician	$188.3K	$0
Edward Fisher	NC	Nephrology Physician	$169.9K	$0
Dan Worrell	VA	Family Medicine Physician	$166.4K	$0
Murugananthan Subbiah	NC	Internal Medicine Physician	$135.4K	$0
Rajeev Shenoy	SC	Nephrology Physician	$120.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Alliance, LLC	NC	Community/Behavioral Health Agency	$0	$38.2M
Wilkes Pediatric Clinic, PLLC	NC	Pediatrics Physician	$0	$14.2M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$271.6K	$11.5M
Addus Healthcare (south Carolina), Inc.	NC	Case Manager/Care Coordinator	$0	$7.2M
Steven Anderson	NC	Orthopaedic Surgery Physician	$473.6K	$0
Tolulola Adeola	NC	Hospitalist Physician	$191K	$0
John Mclarney	NC	Diagnostic Radiology Physician	$152.9K	$0
Gregory Evans	NC	Diagnostic Radiology Physician	$135.5K	$0
Zbigniew Cichon	NC	Internal Medicine Physician	$109.7K	$14K
Courtney Prim	NC	Physician Assistant	$82.9K	$0

Wrmc Hospital Operating Corporation — Billing Profile & Reimbursement Data

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Wrmc Hospital Operating Corporation — 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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