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.

Piedmont Healthcare, P.A. (NPI 1912999897)

Piedmont Healthcare, P.A. is a internal medicine physician provider located in Statesville, North Carolina. This profile covers 0 Medicare and 196 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Piedmont Healthcare, P.A.
Address	650 Signal Hill Drive Ext
City	Statesville
State	NC
ZIP	28625
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 17, 2005

Payer Source	Total Paid
Medicaid	$34.1M
Medicare	$0

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

196 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…	186,890	$60	$11M
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…	126,040	$50	$6.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	663,890	$10	$3.3M
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…	18,970	$90	$1.7M
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…	17,340	$90	$1.5M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	14,340	$90	$1.3M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	16,330	$50	$849.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	26,840	$30	$778.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	39,890	$20	$757.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,480	$100	$647.6K

Showing 1–10 of 196

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

Piedmont Healthcare, P.A. — 17 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

196 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	32	2,850	10,910	$10	$330.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	48	160	270	$10	$316.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	38	50	380	$10	$302.3K
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…	4	4,400	960	$60	$271.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	7	90	320	$160	$262.5K
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…	19	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…	13	550	970	$90	$258.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	105	290	1,720	$10	$248.2K
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…	13	4,130	670	$50	$219.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	22	100	200	$150	$212.6K

Showing 1–10 of 196

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Providers LLC	GA	Internal Medicine Physician	$0	$1.6M
Dijana Christianson	NC	Internal Medicine Physician	$1.5M	$0
Sean Fahey	NC	Rheumatology Physician	$1.2M	$0
Craig Dubois	NC	Neurology Physician	$821.1K	$0
Frank Lichtenberger	NC	Allergy & Immunology Physician	$653.5K	$0
Piedmont Healthcare, PA	NC	Endoscopy Clinic/Center	$353K	$162.4K
Duncan Mccall	NC	Rheumatology Physician	$478.2K	$0
Matthew Carraro	NC	Neurology Physician	$462.7K	$0
Roderick Elias	NC	Neurology Physician	$334.1K	$0
Naveed Rajper	NC	Interventional Cardiology Physician	$231K	$5.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homecare Management Corporation	NC	Community/Behavioral Health Agency	$0	$38.2M
Addiction Recovery Medical Services	NC	Community/Behavioral Health Agency	$112.3K	$14.1M
Addiction Recovery Medical Services - Providers	NC	Pain Medicine (Anesthesiology) Physician	$0	$7.6M
Bob Wodecki	NC	Rheumatology Physician	$3.1M	$0
Jerome Watson	NC	Physical Medicine & Rehabilitation Physician	$249.2K	$0
John Allan	NC	Cardiovascular Disease Physician	$205.8K	$0
Ahmed Elnaggar	NC	Pulmonary Disease Physician	$197.7K	$0
Roger Hatharasinghe	NC	Internal Medicine Physician	$177K	$0
Harsh Govil	NC	Interventional Pain Medicine Physician	$174.9K	$0
Robert Aryeetey	NC	Infectious Disease Physician	$171.7K	$0

Piedmont Healthcare, P.A. — Billing Profile & Reimbursement Data

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Piedmont Healthcare, 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

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