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.

Hendersonville Pediatrics, P.A. (NPI 1912966656)

Field	Value
Entity Type	Organization
Organization	Hendersonville Pediatrics, P.A.
Address	600 Beverly Hanks Ctr
City	Hendersonville
State	NC
ZIP	28792
Taxonomy	Specialist
NPI Enumerated	March 21, 2006

Payer Source	Total Paid
Medicaid	$24.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	79,830	$90	$7.5M
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…	62,720	$70	$4.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	536,720	$10	$2.7M
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…	14,280	$100	$1.4M
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…	14,350	$90	$1.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10,180	$100	$977.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	15,290	$60	$963.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	28,250	$30	$819.1K
0241U	N/A	6,020	$130	$788.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	37,770	$20	$755.4K

Showing 1–10 of 70

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

Hendersonville Pediatrics, P.A. — 14 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

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	36	40	480	$40	$1.4M
0241U	N/A	28	140	1,140	$150	$510.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	49	2,850	10,910	$10	$330.3K
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…	21	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…	24	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…	24	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…	45	4,130	670	$50	$219.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	25	590	490	$90	$179.8K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	206	330	300	$10	$142.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	28	530	270	$90	$112.8K

Showing 1–10 of 70

Nearby Providers

Other providers in the same ZIP code as Hendersonville Pediatrics, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Alan Verm	NC	Ophthalmology Physician	$459.7K	$0
Beverly Collins	NC	Gerontology Nurse Practitioner	$198.9K	$0
Publix North Carolina, LP	NC	Community/Retail Pharmacy	$182.5K	$0
Melisa Harrington	NC	Nephrology Physician	$159.9K	$0
Elizabeth Dray	NC	Urology Physician	$153.1K	$0
Marshall Ney	NC	Physical Medicine & Rehabilitation Physician	$124.2K	$0
Royce Bailey	NC	Internal Medicine Physician	$99.9K	$0
Aaron Brodsky	NC	Geriatric Psychiatry Physician	$91.1K	$0

Hendersonville Pediatrics, P.A. — Billing Profile & Reimbursement Data

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Hendersonville Pediatrics, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References