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.

Mcleod Physician Associates Ii (NPI 1043568090)

Field	Value
Entity Type	Organization
Organization	Mcleod Physician Associates Ii
Address	101 William H. Johnson Street
City	Florence
State	SC
ZIP	29506
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	August 23, 2012

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19,330	$40	$773.2K
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…	23,770	$30	$736.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	50,990	$1	$204K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30,350	$10	$151.8K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	4,990	$20	$74.8K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	6,270	$10	$50.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,820	$20	$43.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	750	$60	$43K
93298	The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…	4,680	$10	$37.5K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	2,970	$10	$17.8K

Showing 1–10 of 28

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

Mcleod Physician Associates Ii — 10 of 22 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,119	2,770	210	$60	$254.5K
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…	56	2,480	350	$80	$246K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	89	110	70	$150	$157.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1	140	690	$80	$153.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	61	230	430	$40	$129.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	92	360	100	$100	$76.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	11	60	130	$170	$67.7K
99204	The provider sees a new 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 provider…	247	490	90	$100	$63.6K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	1	30	90	$40	$30.9K
93299	N/A	1	10	230	$80	$25.2K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mcleod Physician Associates Ii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$6.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	Community Based Hospice Care Agency	$0	$5.7M
Mcleod Physician Associates Ii	SC	Pediatric Cardiology Physician	$0	$4.2M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$4.2M
Dillon Family Medicine, P.A.	SC	Family Medicine Physician	$0	$4M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Home Health Agency	$0	$2.7M

Nearby Providers

Other providers in the same ZIP code as Mcleod Physician Associates Ii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
Florence County Disabilities And Special Needs Board	SC	Early Intervention Provider Agency	$0	$28.3M
Allergy Asthma Sinus Ctr	SC	Allergy & Immunology Physician	$0	$8.2M
County Of Florence	SC	Land Ambulance	$2M	$4.5M
Florence School District One	SC	Local Education Agency (LEA)	$0	$6.3M
Tucker-wells Medical, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$5.8M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
W. Dean Lorenz Md PC	SC	Physical Medicine & Rehabilitation Physician	$0	$3.2M
Mcleod Physician Associates Ii	SC	Gynecology Physician	$0	$2.6M
Pee Dee Nephrology LLP	SC	Nephrology Physician	$0	$1.8M

Mcleod Physician Associates Ii — Billing Profile & Reimbursement Data

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Mcleod Physician Associates Ii — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References