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 South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South 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. South 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.

Mark Deford (NPI 1003158908)

Field	Value
Entity Type	Individual
Organization	Mark Deford
Address	2600 Elms Plantation Blvd
City	North Charleston
State	SC
ZIP	29406
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	March 19, 2013

Payer Source	Total Paid
Medicare	$349K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,550	$80	$123.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	980	$120	$112.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,220	$60	$68.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	220	$140	$30.5K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	130	$100	$13.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$40	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Mark Deford — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	19	470	290	$70	$29.9K
99310	7	270	80	$100	$17.2K
99306	21	160	60	$130	$15K
99308	12	390	120	$50	$12.9K
20610	730	810	70	$50	$7.3K
99305	12	120	40	$100	$6.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mark Deford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Rehab Consultants LLC	IL	Physical Medicine & Rehabilitation Physician	$0	$4.3M
Jason Redwine	TX	Family Nurse Practitioner	$1.3M	$0
Ahmed Elgamal	IL	Physical Medicine & Rehabilitation Physician	$974.1K	$239.8K
Joezer Lugo Ranal	TX	Physical Medicine & Rehabilitation Physician	$1M	$0
Pedro Gonzalez	IL	Physical Medicine & Rehabilitation Physician	$563.4K	$372.4K
Sung-joon Cho	TX	Physical Medicine & Rehabilitation Physician	$901.4K	$0
Amish Patel	IL	Physical Medicine & Rehabilitation Physician	$696.4K	$156.1K
Meljun Gomez	IL	Adult Health Nurse Practitioner	$448.6K	$307.5K
Hassan Akinbiyi	AZ	Physical Medicine & Rehabilitation Physician	$729.7K	$0
Kunwarjit Duggal	IN	Physical Medicine & Rehabilitation Physician	$669.7K	$18.8K

Nearby Providers

Other providers in the same ZIP code as Mark Deford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trident Medical Center, LLC	SC	General Acute Care Hospital	$0	$55.8M
Sweetgrass Pediatrics	SC	Pediatrics Physician	$0	$37.1M
Trident Ambulatory Surgery Center, L.P.	SC	Ambulatory Surgical Clinic/Center	$1M	$10.9M
Palmetto Pediatrics, PA	SC	Pediatrics Physician	$0	$9M
Taylor Consultants, LLC	SC	Case Manager/Care Coordinator	$0	$7.5M
Charleston Children's Therapy Center, LLC	SC	Pediatric Physical Therapist	$0	$5.7M
Trident Medical Center, LLC	SC	General Acute Care Hospital	$0	$4.1M
Med-trans Corporation	SC	Air Ambulance	$292K	$3.6M
Oral Surgery Of South Carolina LLC	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$3.8M
Crossroads Treatment Center Of Charleston, PC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$153.1K	$3.2M

Mark Deford — Billing Profile & Reimbursement Data

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Mark Deford — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References