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.

New Hanover Community Health Center Incorporated (NPI 1912954090)

Field	Value
Entity Type	Organization
Organization	New Hanover Community Health Center Incorporated
Address	925 N 4th St
City	Wilmington
State	NC
ZIP	28401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

89 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	56,750	$110	$6.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	202,990	$10	$1M
T1017	Targeted case management, each 15 minutes	2,690	$220	$599.2K
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…	1,690	$60	$104.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	2,340	$30	$67.7K
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…	1,070	$60	$63.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	890	$60	$56.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	4,810	$10	$43.3K
D0120	Periodic oral evaluation - established patient	1,500	$20	$25.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	3,580	$10	$21.5K

Showing 1–10 of 89

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

New Hanover Community Health Center Incorporated — 1 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	75	220	1,700	$150	$1.3M
T1015	Clinic visit/encounter, all-inclusive	13	530	2,970	$100	$964.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	175	2,850	10,910	$10	$330.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,681	1,710	810	$80	$274.5K
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…	3,479	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…	262	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…	222	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…	3,234	4,130	670	$50	$219.9K
D2392	Post 2 surface resin‑based composite	824	940	660	$100	$205.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	246	590	490	$90	$179.8K

Showing 1–10 of 89

Related Providers

Other providers that share a Tax Identification Number (TIN) with New Hanover Community Health Center Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Bachman	NC	Foot & Ankle Surgery Podiatrist	$761.6K	$0

Nearby Providers

Other providers in the same ZIP code as New Hanover Community Health Center Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Novant Health New Hanover Regional Medical Center LLC	NC	General Acute Care Hospital	$0	$57.5M
New Hanover Regional Medical Center	NC	General Acute Care Hospital	$0	$23.7M
Access Family Services	NC	Community/Behavioral Health Agency	$0	$15.3M
Care Providers Of Wilmington	NC	Home Health Agency	$0	$10M
Wilmington Health PLLC	NC	Pediatrics Physician	$0	$10M
Ecep Ii PA	NC	Emergency Medicine Physician	$0	$9.7M
Novant Health New Hanover Regional Medical Center LLC	NC	Ambulance	$6.1M	$2.7M
Coastal Horizons Center Inc.	NC	Community/Behavioral Health Agency	$0	$8.7M
Kidzcare Pediatrics, PC	NC	Pediatrics Physician	$0	$8.2M
Rha Health Services, Inc	NC	Community/Behavioral Health Agency	$0	$7.5M

New Hanover Community Health Center Incorporated — Billing Profile & Reimbursement Data

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New Hanover Community Health Center Incorporated — 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