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.

Gerald Warren (NPI 1063417228)

Field	Value
Entity Type	Individual
Organization	Gerald Warren
Address	85 Springview Ln Unit A
City	Summerville
State	SC
ZIP	29485
Taxonomy	Specialist
NPI Enumerated	June 15, 2005
NPI Deactivated	March 17, 2006

Payer Source	Total Paid
Medicare	$14.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	20	$400	$6.1K
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…	40	$70	$3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$60	$2.1K
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…	20	$100	$1.9K
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…	30	$60	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Gerald Warren — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,297	7,860	160	$80	$23.2K
99213	6,365	7,690	100	$60	$10.8K
49505	8	20	20	$520	$10K
99203	1,237	2,970	30	$70	$3.9K
99221	76	370	20	$60	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Carolina Multispecialty Associates, LLC	SC	Specialist	$0	$4.1M
Darren Sidney	SC	Cardiovascular Disease Physician	$577.2K	$0
Daniel Krcelic	AZ	Vascular Surgery Physician	$554.4K	$0
Frank Cuoco	SC	Clinical Cardiac Electrophysiology Physician	$526.7K	$0
Robert Pringle	SC	Interventional Cardiology Physician	$281.4K	$0
Donald Saunders	SC	Interventional Cardiology Physician	$267.8K	$0
Patrick Looser	SC	Interventional Cardiology Physician	$189.3K	$0
Anand Sharma	SC	Radiation Oncology Physician	$170.7K	$0
James Benner	SC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$128.8K	$0
Lawrence Conley	SC	Orthopaedic Surgery Physician	$88.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Hearing Care Center, LLC	SC	Speech-Language Pathologist	$0	$5.8M
Oakbrook Pediatrics, PA	SC	Pediatrics Physician	$0	$5.5M
Synergy Counseling Services LLC	SC	Professional Counselor	$0	$3.7M
Low Country Women's Specialists	SC	Obstetrics & Gynecology Physician	$0	$3.4M
Caroline Speech & Language Center Inc	SC	Speech-Language Pathologist	$0	$2.8M
Lowcountry Outpatient Surgery Center, LLC	SC	Ambulatory Surgical Clinic/Center	$2.6M	$45K
Womens Health Partners PA	SC	Obstetrics & Gynecology Physician	$0	$1.9M
Cp Dentistry, LLC	SC	Pediatric Dentistry	$0	$1.7M
Summerville Endoscopy Center, LLC	SC	Ambulatory Surgical Clinic/Center	$491.8K	$181.3K
Robert Reuther	SC	Ophthalmology Physician	$392.5K	$0

Gerald Warren — Billing Profile & Reimbursement Data

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Gerald Warren — 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