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.

Eastern Carolina Pediatric Associates (NPI 1245300714)

Field	Value
Entity Type	Organization
Organization	Eastern Carolina Pediatric Associates
Address	105 Industrial Way
City	Darlington
State	SC
ZIP	29532
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	14,610	$130	$1.8M
D1120	Prophylaxis–child	19,910	$30	$677.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,980	$90	$561.6K
D3220	N/A	6,750	$80	$553.8K
D1208	Topical application of fluoride - excluding varnish	25,920	$20	$414.7K
D0120	Periodic oral evaluation - established patient	15,050	$20	$346.1K
D1351	Sealant - per tooth	11,870	$30	$344.2K
D0272	N/A	17,050	$20	$306.9K
D9420	N/A	3,340	$90	$294K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,010	$50	$288.2K

Showing 1–10 of 25

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

Eastern Carolina Pediatric Associates — 11 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	3	130	1,060	$150	$371.1K
D2392	Post 2 surface resin‑based composite	124	350	520	$100	$175.3K
D1120	Prophylaxis–child	23	470	600	$30	$156.7K
D9248	N/A	21	50	920	$70	$126.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	14	290	380	$90	$125K
D9230	N/A	79	210	1,150	$30	$115.5K
D2391	Resin‑based composite – one surface, posterior	34	300	270	$80	$110.5K
D1351	Sealant - per tooth	12	200	840	$30	$108.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	590	850	$50	$104.9K
D0120	Periodic oral evaluation - established patient	37	610	1,060	$20	$100K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eastern Carolina Pediatric Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Carolina Pediatric Associates	SC	Pediatrics Physician	$0	$15.3M
Eastern Carolina Pediatric Associates PC	SC	Pediatrics Physician	$0	$4.5M

Nearby Providers

Other providers in the same ZIP code as Eastern Carolina Pediatric Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noc Home Care, LLC	SC	Nursing Care Agency	$0	$6M
Genesis Healthcare, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Darlington County Ems	SC	Land Ambulance	$988.4K	$1.8M
Darlington County School District	SC	Local Education Agency (LEA)	$0	$2.4M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$2.3M
Pee Dee Professional Intervention Services, LLC	SC	Early Intervention Provider Agency	$0	$1.8M
Medone Medical Transport, LLC	SC	Land Ambulance	$583.1K	$13.1K
Medic Of South Carolina, LLC	SC	Land Ambulance	$281.5K	$109K
Delori Knight	SC	Speech-Language Pathologist	$49.3K	$156.6K
Vinay Jagadeesha	SC	Family Medicine Physician	$198K	$2.4K

Eastern Carolina Pediatric Associates — Billing Profile & Reimbursement Data

Sign up for Eastern Carolina Pediatric Associates — Billing Profile & Reimbursement Data policy alerts

Eastern Carolina Pediatric Associates — Billing Profile & Reimbursement Data

Sign up for Eastern Carolina Pediatric Associates — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References