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.

Kraemer Womens Care, LLC (NPI 1124201280)

Kraemer Womens Care, LLC is a obstetrics & gynecology physician provider located in Columbia, South Carolina. This profile covers 0 Medicare and 56 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	Kraemer Womens Care, LLC
Address	460 Clemson Rd
City	Columbia
State	SC
ZIP	29229
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	December 12, 2007

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	71,200	$70	$4.8M
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…	1,970	$1,020	$2M
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…	9,140	$90	$841.2K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9,510	$70	$636.9K
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,…	14,730	$40	$574.5K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	7,210	$80	$554.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	5,580	$90	$485.2K
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.	3,480	$90	$323.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	2,020	$140	$291.3K
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…	2,880	$90	$256.3K

Showing 1–10 of 56

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

Kraemer Womens Care, LLC — 12 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	177	340	110	$40	$450.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	208	350	100	$50	$446.9K
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…	3	60	50	$960	$381.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	10	40	510	$170	$302.7K
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…	20	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…	164	2,480	350	$80	$246K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	29	50	170	$60	$206K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	9	10	180	$40	$190K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	10	100	240	$100	$187.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	105	120	1,100	$30	$170.4K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melanie Hopkins	SC	Anatomic Pathology & Clinical Pathology Physician	$440.5K	$0
Jacqueline Emery	SC	Specialist	$47.9K	$0
Bradley Marcus	SC	Forensic Pathology Physician	$28K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Pediatrics Alliance, LLC	SC	Pediatric Adolescent Medicine Physician	$0	$63.4M
Firm Foundations Counseling & Wellness	SC	Professional Counselor	$0	$3.6M
Suneetha Morthala	SC	Rheumatology Physician	$1.1M	$0
Lexington Health Inc	SC	Radiology Clinic/Center	$414.9K	$13.1K
William Johnson	SC	Ophthalmology Physician	$303.2K	$0
Lexington Health Inc	SC	Ambulatory Surgical Clinic/Center	$230.8K	$0
Carlton Cauthen	SC	Pulmonary Disease Physician	$212.8K	$0
Jessica Hall	SC	Medical Physician Assistant	$105.2K	$0
Amanda Warner	SC	Foot Surgery Podiatrist	$83.5K	$0
Kimberly Mouzon	SC	Acute Care Nurse Practitioner	$74.7K	$0

Kraemer Womens Care, LLC — Billing Profile & Reimbursement Data

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Kraemer Womens Care, LLC — 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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