FNeeds Improvement

Medicare Revenue Report Card 2026

North Carolina

40K Medicare providers analyzed

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I just reviewed the 2026 Medicare Revenue Report Card for North Carolina. Key findings: - Overall Grade: F - Estimated Missed Revenue: $499K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full North Carolina report card:

https://npixray.com/reports/states/north-carolina

Total Providers

40K

in North Carolina

Total Medicare Payment

$2692.0M

Avg Payment / Provider

$67K

Est. Missed Revenue

$499K

across all providers

Peer group: 40,231 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

Care Management Program Adoption

How North Carolina providers compare to the national average in adopting revenue-generating care management programs.

CCM

Chronic Care Management

0.0%-2.4% vs national

$62/patient/mo potential revenue

RPM

Remote Patient Monitoring

0.0%-1.1% vs national

$120/patient/mo potential revenue

BHI

Behavioral Health Integration

0.0%-0.1% vs national

$50/patient/mo potential revenue

AWV

Annual Wellness Visits

0.0%-7.8% vs national

$175/visit potential revenue

North Carolina Trend Signals

Revenue per Provider

$66,914

-16.1% vs benchmark · national avg $79,744

Provider Market Share

3.4% of US

+71.2% vs benchmark · 40,231 providers

CCM Adoption

0.0%

-100.0% vs benchmark · national 2.4%

RPM Adoption

0.0%

-100.0% vs benchmark · national 1.1%

AWV Completion

0.0%

-100.0% vs benchmark · national 7.8%

E&M Coding Distribution

How North Carolina providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.

99213

Level 3

33.0%

National: 31.2%

99214

Level 4

34.0%

National: 56.4%

99215

Level 5

33.0%

National: 9.3%

Top 20 Providers in North Carolina

Highest-volume Medicare providers by total payment.

ProviderPatientsMedicare $
Laboratory Corporation Of America Holdings870,486$214.6M
Pathgroup Labs, Llc147,737$24.8M
Quest Diagnostics Clinical Laboratories Inc81,157$14.6M
Mako Medical Laboratories, Llc36,416$11.2M
Alpha Diagnostics, Llc56,387$11.0M
Laboratory Corporation Of America Holdings29,372$9.6M
County Of Wake10,730$7.8M
Eugene WadeMD470$7.2M
Mecklenburg Emergency Medical Services Agency9,494$6.7M
Radeas Llc8,741$6.5M
Novant Health New Hanover Regional Medical Center Llc7,228$6.1M
Shil PatelM.D.1,105$6.1M
Rachel TedescoNP719$5.7M
James PateM.D.1,166$5.2M
Orthopaedic Surgery Center Of Asheville, Lp338$5.1M
Justin BrownM.D.1,463$5.0M
Nitin GuptaM.D., M.P.H.890$4.7M
Cumberland County Hospital System Inc4,997$4.3M
Vishak JohnM.D.1,195$4.3M
William BridgesM.D.1,349$4.1M

Scan a Provider in NC

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 40,231 providers analyzedLast updated: January 2026

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