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.

Mark Held (NPI 1912956293)

Field	Value
Entity Type	Individual
Organization	Mark Held
Address	722 Newman Rd
City	New Bern
State	NC
ZIP	28562
Taxonomy	Specialist
NPI Enumerated	May 6, 2006

Payer Source	Total Paid
Medicare	$71.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new 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 provider…	170	$120	$19.4K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	30	$610	$18.2K
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…	250	$60	$15.7K
63056	The provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a…	10	$1,030	$13.4K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	30	$160	$5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Mark Held — 1 of 5 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63056	5	10	20	$1,220	$28.1K
63047	24	150	20	$570	$13.1K
99213	2,243	16,320	70	$50	$7.1K
99204	210	8,430	30	$110	$4.8K
63048	37	90	30	$110	$4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Dalrymple	NC	Specialist	$244K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$28.2M
Coastal Childrens Clinic	NC	Pediatrics Physician	$0	$20.4M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$14M
Robert B. Harrison Dmd Msd PLLC	NC	Multi-Specialty Clinic/Center	$0	$7.5M
Robert B. Miller, Iv, Dds, PLLC	NC	Dentist	$0	$7.3M
Christopher Flye	NC	Diagnostic Radiology Physician	$1.7M	$0
Cchc Endoscopy Center Inc	NC	Endoscopy Clinic/Center	$988.7K	$57.5K
Christopher Mizelle	NC	Dermatology Physician	$924.7K	$0
Nathan Saucier	NC	Nephrology Physician	$724.1K	$0
Jay Singleton	NC	Ophthalmology Physician	$704.5K	$0

Mark Held — Billing Profile & Reimbursement Data

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Mark Held — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References