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.

Emergency Medicine Physicians Of Mecklenburg County, PLLC (NPI 1912232182)

Field	Value
Entity Type	Organization
Organization	Emergency Medicine Physicians Of Mecklenburg County, PLLC
Address	10628 Park Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 6, 2009

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Key Findings

This practice is effectively single‑payer in the available data: there is no Medicare billing on file and all reported lifetime revenue is Medicaid‑derived, totaling $43.1M. The absence of Medicare activity suggests this entity’s revenue exposure and payer management are concentrated entirely within Medicaid programs.

Revenue is extremely concentrated in three emergency department E/M codes: 99284, 99285 and 99283 together account for 98.4% of the provider’s Medicaid revenue. Individually these codes generate $22.2M (99284), $15.1M (99285) and $5.1M (99283) respectively, and together form the primary financial drivers of the practice.

The code mix and volumes indicate a high‑throughput emergency medicine operation focused on moderate and high complexity ED visits: 99284 shows 296K claims at $75 avg paid/claim, 99285 shows 171.3K claims at $88 avg paid/claim, and 99283 shows 119K claims at $43 avg paid/claim. These claim counts and average payments are consistent with an ED practice seeing a broad spectrum of acuity, with substantial volume concentrated in mid‑to‑high complexity encounters.

On a competitive basis within North Carolina this provider is a dominant outlier for its highest‑revenue codes: 99284 ranks #2 of 325 providers in‑state (100th percentile; extreme outlier) and 99285 ranks #2 of 281 providers in‑state (100th percentile; extreme outlier). Even the lower‑complexity ED code 99283 ranks highly at #5 of 316 providers (99th percentile), signaling that this entity operates at a far higher state volume for ED E/M services than typical peers.

Ancillary and critical care services contribute only a small share of revenue relative to ED E/M codes: 99291 (critical care) accounts for $352.5K (0.8% of Medicaid revenue) on 3.6K claims and ranks #13 of 144 providers (92th percentile; typical, unremarkable), while 93010 (ECG interpretation) appears on 115.3K claims but produces $346K (0.8% of revenue) due to a low $3 avg paid/claim and ranks #5 of 243 providers (98th percentile). These patterns suggest the practice’s billing profile is dominated by E/M encounters with ancillary codes supporting high ED throughput rather than driving revenue.

Payer reimbursement mix within Medicaid shows higher average paid amounts for the highest acuity code: 99285 has an $88 avg paid/claim versus $75 for 99284 and $43 for 99283, reflecting standard payment differentiation by E/M complexity and amplifying the revenue impact of high‑complexity visits. Given the large claim volumes for these higher‑paid codes, the overall revenue distribution is sensitive to shifts in acuity coding and Medicaid payment rates for ED E/M services.

The provider’s enrollment/tenure is long established: NPI enumerated on 2009-10-06 (~17 years ago), indicating sustained presence in the market that corresponds with the high cumulative Medicaid billing observed. This tenure aligns with the scale and consistency implied by hundreds of thousands of claims across the top E/M codes.

Although the top three codes concentrate 98.4% of Medicaid revenue, several other codes appear at negligible revenue shares (e.g., 90791 $2.7K, 90839 $486, 99281 $180) and low claim counts, indicating a narrow service mix from a billing standpoint. The combination of extreme state‑level ranking on core ED E/M codes and minimal non‑ED revenue items paints a clear picture of a high‑volume, ED‑focused billing profile rather than a diversified multispecialty practice.

Medicaid: Complete Services Breakdown

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

10 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.	295,970	$80	$22.2M
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.	171,270	$90	$15.1M
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.	119,030	$40	$5.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3,600	$100	$352.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	115,330	$1	$346K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	140	$20	$2.7K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	20	$30	$490
99281	The provider sees a patient for the lowest level emergency department visit.	20	$10	$180
99053	The provider renders overnight services at a 24 hour facility.	10	$10	$70
G9744	Patient not eligible due to active diagnosis of hypertension	30	$0	$0

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

Emergency Medicine Physicians Of Mecklenburg County, PLLC — 4 of 9 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

10 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.	2	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.	5	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.	2	280	2,690	$130	$1.6M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	13	140	150	$120	$128.3K
99281	The provider sees a patient for the lowest level emergency department visit.	56	70	170	$30	$41.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5	240	1,280	$1	$33.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	303	870	70	$90	$28.9K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	8	10	40	$80	$13K
99053	The provider renders overnight services at a 24 hour facility.	24	30	120	$1	$7.9K
G9744	Patient not eligible due to active diagnosis of hypertension	36	40	170	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medicine Physicians Of Mecklenburg County, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Vicente Hill	NC	Emergency Medicine Physician	$55.8K	$303.6K
Karen Severson	IL	Psychiatry Physician	$242K	$0
James Butler	TX	Psychiatry Physician	$152.4K	$0
Dominic Williams	MD	Emergency Medicine Physician	$139.1K	$0
Bernard Jones	SC	Emergency Medicine Physician	$137.9K	$0
Allison Burke	IL	Emergency Medicine Physician	$134K	$1.9K
Bryan Carney	OH	Emergency Medicine Physician	$126.7K	$0
James Wilson	VA	Emergency Medicine Physician	$98.8K	$11.6K
Rachel Pretko	VA	Emergency Medicine Physician	$98.3K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medicine Physicians Of Mecklenburg County, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0

Emergency Medicine Physicians Of Mecklenburg County, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References