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.

Erica Hodge (NPI 1194158675)

Field	Value
Entity Type	Individual
Organization	Erica Hodge
Address	297 W Boyce St
City	Manning
State	SC
ZIP	29102
Taxonomy	Physical Therapist
NPI Enumerated	August 19, 2013

Payer Source	Total Paid
Medicare	$213.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,820	$20	$125.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,320	$20	$69.6K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	180	$70	$12.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	300	$10	$4.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	140	$20	$2.6K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	240	$10	$1.4K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	110	$10	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Erica Hodge — 3 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	28	1,250	600	$20	$20K
97110	10	1,390	710	$20	$19.2K
97112	595	870	250	$20	$8.2K
97140	464	1,100	240	$20	$6.9K
97161	25	600	30	$70	$3.6K
G0283	102	260	150	$10	$2.7K
97035	27	80	70	$10	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarendon County Dsn Board	SC	Early Intervention Provider Agency	$0	$21.1M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Mcleod Health Clarendon	SC	Rural Acute Care Hospital	$0	$10M
Select Toxicology Lab Stl LLC	SC	Clinical Medical Laboratory	$150.9K	$8.7M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$4.6M
Branco Adult Daycare Center, LLC	SC	Respite Care	$0	$3.4M
Select Laboratories Sc LLC	SC	Clinical Medical Laboratory	$1M	$1.3M
County Of Clarendon	SC	Ambulance	$511.8K	$597.1K
East Palmetto Ambulance Service LLC	SC	Land Ambulance	$878.9K	$0
Mitchell Grunsky	SC	Family Medicine Physician	$299.1K	$0

Erica Hodge — Billing Profile & Reimbursement Data

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Erica Hodge — 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