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.

Joyce Mcwhorter (NPI 1184260655)

Field	Value
Entity Type	Individual
Organization	Joyce Mcwhorter
Address	315 Medical Pkwy Ste 240
City	Greer
State	SC
ZIP	29650
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	November 20, 2019

Payer Source	Total Paid
Medicare	$40.2K
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
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…	260	$50	$12.8K
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…	170	$70	$12.3K
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…	120	$110	$12.2K
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	120	$20	$2.7K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	20	$10	$210

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

Joyce Mcwhorter — 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	3,803	7,860	160	$80	$23.2K
99213	1,663	7,690	100	$60	$10.8K
99215	443	2,360	40	$120	$9.3K
G0296	4	60	20	$20	$800
95012	22	30	60	$10	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$10.9M
Pediatric Dentistry, PA	SC	Pediatric Dentistry	$0	$6.7M
Warren Keith Stafford, M.d.	SC	Family Medicine Physician	$0	$5.4M
The Pediatric Center	SC	Pediatrics Physician	$0	$3.9M
Innovation Counseling Services	SC	Community/Behavioral Health Agency	$0	$2.8M
Uhs Of Greenville, LLC	SC	Psychiatric Hospital	$0	$2.7M
Memorial Drive Medical PC, LLC	SC	Pediatrics Physician	$0	$2.1M
Surgery Center At Pelham, LLC	SC	Ambulatory Surgical Clinic/Center	$300.2K	$585K
Frank Armocida	SC	Adult Reconstructive Orthopaedic Surgery Physician	$393K	$0
Brayton Shirley	SC	Orthopaedic Surgery Physician	$308.8K	$0

Joyce Mcwhorter — Billing Profile & Reimbursement Data

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Joyce Mcwhorter — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References