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.

The Presbyterian Hospital (NPI 1881647204)

Field	Value
Entity Type	Organization
Organization	The Presbyterian Hospital
Address	200 Hawthorne Ln
City	Charlotte
State	NC
ZIP	28204
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$33.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	69,430	$190	$13.5M
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.	38,850	$230	$8.8M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	22,520	$70	$1.7M
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.	4,840	$240	$1.1M
0241U	N/A	5,640	$190	$1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29,330	$20	$586.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,070	$50	$579.2K
J3490	Unclassified drugs	189,180	$1	$567.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3,760	$130	$499.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,450	$200	$477.9K

Showing 1–10 of 155

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

The Presbyterian Hospital — 5 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

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	45	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…	69	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.	20	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.	119	280	2,690	$130	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	49	80	420	$30	$1.2M
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.	173	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	188	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.	186	190	560	$20	$609.8K
0241U	N/A	29	140	1,140	$150	$510.8K

Showing 1–10 of 155

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Sameday Surgery Center At Huntersville LLC	NC	Ambulatory Surgical Clinic/Center	$807.6K	$44.8K
Hakeem Ayinde	VA	Clinical Cardiac Electrophysiology Physician	$426.4K	$0
Jeffrey Senfield	SC	Clinical Cardiac Electrophysiology Physician	$288.1K	$0
Kevin Patel	NC	Hematology & Oncology Physician	$275.7K	$0
Walid Eltaraboulsi	NC	Pulmonary Disease Physician	$260.2K	$0
William Townsend	NC	Urology Physician	$251K	$0
Kevin Hsu	NC	Clinical Cardiac Electrophysiology Physician	$215.4K	$0
Zane Basrawala	NC	Urology Physician	$200.1K	$0
Madhu Emani	NC	Medical Oncology Physician	$197.8K	$0
Lokesh Tejwani	NC	Cardiovascular Disease Physician	$176.7K	$0

Nearby Providers

Other providers in the same ZIP code as The Presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$27.9M
Carolina Asthma And Allergy Center PA	NC	Allergy & Immunology Physician	$0	$18.8M
Carolina Medicorp Enterprises, LLC	NC	Urgent Care Clinic/Center	$0	$13.3M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M
Hazem El-gamal	NC	MOHS-Micrographic Surgery Physician	$1M	$0
Noelle Williams	NC	Radiation Oncology Physician	$713K	$0
Jahan Mohiuddin	NC	Radiation Oncology Physician	$566.7K	$0
Marc Carruth	NC	MOHS-Micrographic Surgery Physician	$499.3K	$0
Joanna Young	NC	Internal Medicine Physician	$459.9K	$0

The Presbyterian Hospital — Billing Profile & Reimbursement Data

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The Presbyterian Hospital — 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