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.

Theresa Frazier (NPI 1134841794)

Field	Value
Entity Type	Individual
Organization	Theresa Frazier
Address	230 Castlebury Dr
City	Columbia
State	SC
ZIP	29229
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 12, 2022

Payer Source	Total Paid
Medicare	$72.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	320	$70	$21.6K
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…	340	$40	$14.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	150	$80	$12.3K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	330	$30	$9.4K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	130	$50	$6.5K
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…	40	$100	$3.6K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$80	$1.8K
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	$1.8K
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…	60	$20	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Theresa Frazier — 1 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	311	530	240	$80	$30.4K
99309	218	470	290	$70	$29.9K
99310	211	270	80	$100	$17.2K
99308	89	390	120	$50	$12.9K
99497	420	710	50	$60	$5K
99348	48	320	40	$50	$4.1K
99316	103	160	30	$80	$3.9K
99307	41	90	50	$30	$3.4K
99347	3	70	40	$30	$2.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Theresa Frazier, 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
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
Binyue Chang	SC	Internal Medicine Physician	$318.1K	$0
Jeffrey Wilkins	SC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$303.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Pediatrics Alliance, LLC	SC	Pediatric Adolescent Medicine Physician	$0	$63.4M
Kraemer Womens Care, LLC	SC	Obstetrics & Gynecology Physician	$0	$12.4M
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

Theresa Frazier — Billing Profile & Reimbursement Data

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Theresa Frazier — 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