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.

Leah Fordham (NPI 1912503558)

Field	Value
Entity Type	Individual
Organization	Leah Fordham
Address	11314 Us Hwy 15 501 Hwy N
City	Chapel Hill
State	NC
ZIP	27517
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 9, 2020

Payer Source	Total Paid
Medicare	$6.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	370	$20	$6.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Leah Fordham — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	8	720	30	$10	$880

Nearby Providers

Other providers in the same ZIP code as Leah Fordham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Triangle, Inc.	NC	Community/Behavioral Health Agency	$0	$16.3M
Beth Goldstein	NC	Dermatology Physician	$935.4K	$0
Yang Zhang	NC	Retina Specialist (Ophthalmology) Physician	$589.7K	$0
David Devries	NC	Dermatology Physician	$513.6K	$0
David Belyea	NC	Ophthalmology Physician	$241.4K	$0
Molly Fox	NC	Psychiatric/Mental Health Nurse Practitioner	$226.5K	$0
Ruth Walters	NC	Clinical Pathology/Laboratory Medicine Physician	$219.1K	$0
North Carolina Cvs Pharmacy LLC	NC	Pharmacy	$191.5K	$0
Floriece Blackmon	NC	Diagnostic Radiology Physician	$162.9K	$0
Ashley Baquero	NC	Surgery Physician	$147.6K	$0

Leah Fordham — Billing Profile & Reimbursement Data

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Leah Fordham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References