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.

Marcia Green (NPI 1033651500)

Field	Value
Entity Type	Individual
Organization	Marcia Green
Address	2101 Dutch Fork Rd
City	Chapin
State	SC
ZIP	29036
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 15, 2016

Payer Source	Total Paid
Medicare	$84.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	710	$40	$30.3K
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…	400	$70	$26.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	130	$110	$13.5K
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…	110	$90	$10.2K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$50	$1.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$80	$1.3K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	40	$20	$740
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	20	$20	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Marcia Green — 1 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	186	470	290	$70	$29.9K
99310	110	270	80	$100	$17.2K
99308	38	390	120	$50	$12.9K
99497	420	710	50	$60	$5K
90792	5	150	20	$120	$4.7K
99316	124	160	30	$80	$3.9K
99307	75	90	50	$30	$3.4K
G0317	79	110	80	$20	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curana Health Of South Carolina PC	SC	Internal Medicine Physician	$0	$6.4M
Lifesource Of North Carolina	SC	General Practice Physician	$0	$3.1M
Physicians Services Group, P.C.	SC	Multi-Specialty Clinic/Center	$0	$1.8M
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0
Kenneth Santiago	SC	Internal Medicine Physician	$467.1K	$0
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0
Kimberly Cecchini-purgavie	SC	Physical Medicine & Rehabilitation Physician	$433.2K	$0
Tamara Chittenden	NC	Internal Medicine Physician	$371.4K	$0
Christopher Zakhary	SC	Internal Medicine Physician	$339.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Homes Of Sc, Inc.	SC	Community Based Hospice Care Agency	$0	$5.9M
Chapin Pediatrics	SC	Pediatrics Physician	$0	$4.6M
Children's Chatter, Speech-language Therapy, LLC	SC	Speech-Language Pathologist	$0	$2.7M
Jumpstart Pediatrics LLC	SC	Pediatric Physical Therapist	$0	$2.1M
Ralph Warnock	SC	Pediatric Dentistry	$0	$1.9M
Chapin Orthopedic Surgery Center	SC	Ambulatory Surgical Clinic/Center	$1.7M	$0
Kerry Wheeler	SC	General Practice Physician	$177.6K	$0
Victoria Roberts	SC	Physician Assistant	$139.2K	$0
Publix Super Markets Inc	SC	Community/Retail Pharmacy	$126.6K	$0
Casie Smith	SC	Nurse Practitioner	$120.3K	$0

Marcia Green — Billing Profile & Reimbursement Data

Sign up for Marcia Green — Billing Profile & Reimbursement Data policy alerts

Marcia Green — Billing Profile & Reimbursement Data

Sign up for Marcia Green — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References