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.

Steven Allgood (NPI 1265425045)

Steven Allgood is a surgery physician provider located in Greenville, South Carolina. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Steven Allgood
Address	200 Patewood Dr Ste A14
City	Greenville
State	SC
ZIP	29615
Taxonomy	Surgery Physician
NPI Enumerated	August 26, 2005

Payer Source	Total Paid
Medicare	$51.8K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	30	$470	$14.9K
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…	180	$60	$10.7K
19303	The provider removes the entire breast, nipples, and skin surrounding the nipple–areolar complex but leaves the pectoralis major and minor muscles and axillary nodes in place.	10	$770	$10K
99204	The provider sees a new 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 provider…	30	$120	$3.6K
19125	The provider excises a single lesion previously identified by a preoperative radiological marker through an open incision.	10	$310	$3.4K
99205	The provider sees a new 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 provider…	30	$140	$3.4K
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…	20	$110	$2.6K
38500	The provider performs an open excision or biopsy of the lymph nodes lying near the surface of the body using a scalpel. The provider commonly performs this procedure to identify and diagnose the…	20	$100	$1.7K
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…	10	$80	$890
76098	The radiologist images a tissue specimen, such as a breast biopsy, immediately after the surgeon removes it from the patient to confirm excision of the entire lesion. The radiologist then reports…	40	$10	$410

Steven Allgood — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,825	7,860	160	$80	$23.2K
19301	17	40	30	$480	$14.8K
19303	5	10	10	$790	$11.1K
99213	2,360	7,690	100	$60	$10.8K
99215	1,574	2,360	40	$120	$9.3K
99204	2,669	4,520	40	$110	$6.4K
99205	521	1,000	30	$150	$5.8K
19125	5	10	10	$380	$5.7K
38500	4	10	30	$100	$2.4K
76098	11	50	20	$10	$350