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.

Fetter Health Care Network, Inc. (NPI 1003827304)

Fetter Health Care Network, Inc. is a federally qualified health center (fqhc) provider located in Charleston, South Carolina. This profile covers 0 Medicare and 63 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	Fetter Health Care Network, Inc.
Address	51 Nassau St
City	Charleston
State	SC
ZIP	29403
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	23,110	$100	$2.4M
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…	9,550	$150	$1.4M
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…	4,980	$150	$767.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,590	$150	$241.8K
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…	1,510	$160	$235.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,440	$150	$215.4K
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…	990	$160	$155.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	930	$140	$134.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5,500	$10	$71.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	330	$150	$49.3K

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

Fetter Health Care Network, Inc. — 1 of 25 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. South Carolina median

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	58	350	3,560	$30	$525.5K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	36	60	50	$960	$381.4K
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…	118	280	600	$90	$299K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	100	160	270	$70	$268.1K
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…	239	2,770	210	$60	$254.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	214	710	350	$60	$247.2K
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…	308	2,480	350	$80	$246K
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…	101	380	160	$100	$226.8K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	166	180	1,360	$20	$152.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	84	390	100	$100	$148.3K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Creed	SC	Family Nurse Practitioner	$209.3K	$0
Lynn Manfred	SC	Internal Medicine Physician	$140.7K	$0
Helena Kirkpatrick	SC	Obstetrics & Gynecology Physician	$29.8K	$2.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Disabilities Board Of Charleston County	SC	Developmentally Disabled Services Day Training Agency	$0	$49.9M
Vikor Scientific, LLC	SC	Clinical Medical Laboratory	$516.8K	$27M
Nathan Seng	SC	Dentist	$0	$1.6M
Charleston Pathology, P.A.	SC	Clinical Medical Laboratory	$248.5K	$385.5K
Phi Life Sciences LLC	SC	Clinical Medical Laboratory	$91.6K	$374.7K
Alexander Kent	SC	Ophthalmology Physician	$287.4K	$0
Tracy Tipton	SC	Urology Physician	$249.8K	$0
John Mitchell	SC	Critical Care Medicine (Internal Medicine) Physician	$216.5K	$0
Joseph Lally	SC	Ophthalmology Physician	$202.5K	$0
Todd Joye	SC	Interventional Pain Medicine Physician	$192.7K	$0

Fetter Health Care Network, Inc. — Billing Profile & Reimbursement Data

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Fetter Health Care Network, 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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