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 1053710012)

Field	Value
Entity Type	Organization
Organization	Mcleod Physician Associates Ii
Address	101 William H. Johnson Street
City	Florence
State	SC
ZIP	29506
Taxonomy	Gynecology Physician
NPI Enumerated	August 15, 2014

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H1001	Prenatal care, at-risk enhanced service; antepartum management	7,440	$170	$1.3M
T1001	Nursing assessment / evaluation	5,130	$170	$891.8K
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…	4,330	$60	$242.4K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	290	$180	$51.5K
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…	490	$90	$41.8K
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,…	470	$30	$14.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	630	$20	$11.9K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	3,820	$1	$11.5K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	40	$90	$3.2K
99078	The provider conducts group instruction as patient education, such as a diabetic teaching or a prenatal class for expectant mothers.	80	$30	$2.4K

Showing 1–10 of 17

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 — 1 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1001	Prenatal care, at-risk enhanced service; antepartum management	1	10	2,070	$170	$401.4K
T1001	Nursing assessment / evaluation	2	10	1,250	$170	$319.9K
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…	406	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…	1,135	2,480	350	$80	$246K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	359	410	330	$50	$152.6K
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,…	229	610	190	$50	$98.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	282	380	660	$30	$90K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	47	120	300	$40	$67.1K
99203	The provider sees a new 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 provider…	386	520	70	$70	$67.1K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	100	120	180	$90	$51.6K

Showing 1–10 of 17

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 Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$6.1M
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 Physician Associates	SC	Obstetrics & Gynecology Physician	$0	$2.6M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$2.5M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$2.3M
Mcleod Physician Associates Ii	SC	Cardiovascular Disease Physician	$0	$2.2M

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
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
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
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
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
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	Community Based Hospice Care Agency	$0	$5.7M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M

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