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.

Hugh Chatham Memorial Hospital Inc (NPI 1942361308)

Hugh Chatham Memorial Hospital Inc is a general acute care hospital provider located in Elkin, North Carolina. This profile covers 0 Medicare and 123 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	Hugh Chatham Memorial Hospital Inc
Address	180 Parkwood Dr
City	Elkin
State	NC
ZIP	28621
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

123 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15,570	$150	$2.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,400	$110	$1.7M
0241U	N/A	10,270	$160	$1.6M
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…	27,200	$20	$625.5K
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…	22,260	$20	$489.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,250	$180	$400.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4,580	$40	$178.5K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6,600	$30	$171.5K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	5,530	$30	$166K
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.	4,590	$30	$151.4K

Showing 1–10 of 123

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

Hugh Chatham Memorial Hospital Inc — 2 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

123 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	111	330	6,130	$130	$2.7M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	86	160	840	$70	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	101	320	6,160	$120	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	145	280	2,690	$130	$1.6M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	39	40	480	$40	$1.4M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	64	80	420	$30	$1.2M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	59	70	280	$20	$896.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	248	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	75	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	169	190	530	$20	$635.1K

Showing 1–10 of 123

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wrmc Hospital Operating Corporation	NC	General Acute Care Hospital	$0	$9.5M
Navneet Sharma	PA	Internal Medicine Physician	$384.5K	$0
Andrew Lee	NC	Dermatology Physician	$188.3K	$0
Dan Worrell	VA	Family Medicine Physician	$166.4K	$0
Murugananthan Subbiah	NC	Internal Medicine Physician	$135.4K	$0
Michel Jeannot	GA	Pulmonary Disease Physician	$94K	$0
Jacqueline Darcey	NC	Internal Medicine Physician	$68.5K	$0
Sarba Kundu	NC	Gastroenterology Physician	$58.5K	$0
Julie Taylor	SC	Internal Medicine Physician	$58.3K	$0
Johnathan Whitaker	NC	Orthopaedic Surgery Physician	$53.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prism Medical Products, L.L.C.	NC	Durable Medical Equipment & Medical Supplies	$0	$37M
Tomas Vybiral	NC	Cardiovascular Disease Physician	$310.9K	$0
Sailaja Bondalapati	NC	Ophthalmology Physician	$188.9K	$0
Jeannette Loman	NC	Internal Medicine Physician	$141K	$0
Steven Lavine	NC	Cardiovascular Disease Physician	$111K	$7.7K
Stephen Walker	NC	Family Medicine Physician	$67.3K	$0
Dominick Carbone	NC	Urology Physician	$65.5K	$0

Hugh Chatham Memorial Hospital Inc — 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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