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.

Bethany Medical Center (NPI 1952404188)

Bethany Medical Center is a internal medicine physician provider located in High Point, North Carolina. This profile covers 0 Medicare and 126 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	Bethany Medical Center
Address	507 N Lindsay St
City	High Point
State	NC
ZIP	27262
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

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

126 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	72,230	$70	$4.7M
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…	87,020	$50	$4.2M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	19,560	$100	$2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	18,790	$70	$1.2M
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…	30,390	$40	$1.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	172,930	$10	$864.7K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	14,150	$40	$594.5K
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…	15,340	$30	$460.3K
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	9,950	$40	$348.1K
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.	18,970	$10	$246.6K

Showing 1–10 of 126

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

Bethany Medical Center — 11 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

126 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	42	160	840	$70	$2.3M
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.	7	360	1,830	$40	$819.8K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	80	1,020	$70	$669.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	150	860	$50	$586.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	205	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…	12	160	270	$10	$316.7K
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	3	30	530	$40	$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…	12	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…	17	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.	70	90	320	$160	$262.5K

Showing 1–10 of 126

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethany Medical Center	NC	Family Medicine Physician	$0	$7.2M
Keshavpal Reddy	NC	Psychiatry Physician	$146.2K	$617K
Moogali Arvind	NC	Internal Medicine Physician	$218.9K	$0
Karla Smith	NC	Family Medicine Physician	$114K	$0
Donald Bulla	NC	Physician Assistant	$96.6K	$0
Ryan Miller	NC	Physician Assistant	$92.4K	$0
Courtney Prim	NC	Physician Assistant	$82.9K	$0
Davonia Michael	NC	Anatomic Pathology & Clinical Pathology Physician	$82.2K	$0
Rachel Mccoy	NC	Pain Medicine Physician	$82K	$0
Fernando Sanchez-brugal	NC	Internal Medicine Physician	$74.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
High Point Regional Health	NC	General Acute Care Hospital	$0	$20.2M
Lamboy And Rubio, Dds, PA	NC	Dentist	$0	$16.9M
High Point Pediatrics	NC	Pediatrics Physician	$0	$10.7M
Aldona Ziolkowska	NC	Rheumatology Physician	$307.7K	$0
Christopher Conley	NC	Clinical Cardiac Electrophysiology Physician	$235.1K	$0
Kenneth Lennon	NC	Orthopaedic Surgery Physician	$153.7K	$0
Yatwah Leung	NC	Radiation Oncology Physician	$135K	$0
Patrick Hranitzky	NC	Clinical Cardiac Electrophysiology Physician	$119.6K	$0
Paul Coughlin	NC	Urology Physician	$101.3K	$0
Richard Puschinsky	NC	Urology Physician	$98.4K	$0

Bethany Medical Center — Billing Profile & Reimbursement Data

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Bethany Medical Center — 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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