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.

Clarence Legerton (NPI 1285732214)

Field	Value
Entity Type	Individual
Organization	Clarence Legerton
Address	2001 2nd Ave Ste 201
City	Summerville
State	SC
ZIP	29486
Taxonomy	Rheumatology Physician
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicare	$555.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	5,250	$30	$178.5K
J1602	Injection, golimumab, 1 mg, for intravenous use	15,400	$10	$169.4K
J3262	Injection, tocilizumab, 1 mg	17,000	$1	$68K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,290	$30	$42.6K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,140	$30	$28.5K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	5,800	$1	$23.2K
J0897	Injection, denosumab, 1 mg	840	$20	$15.1K
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…	120	$80	$9.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	100	$90	$8.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	170	$50	$7.8K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Clarence Legerton — 0 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	32	40	9,640	$30	$424.2K
J0717	21	20	59,200	$1	$278.4K
J1602	28	40	23,560	$10	$264.5K
J3262	21	20	40,900	$1	$202.7K
J1745	41	50	3,250	$30	$107K
Q5104	8	10	2,630	$30	$91.6K
J0897	235	250	2,400	$20	$91.2K
99214	4,584	7,860	160	$80	$23.2K
96413	96	150	140	$90	$22.1K
96365	62	170	100	$40	$7.4K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clarence Legerton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Chafin	GA	Rheumatology Physician	$3.3M	$0
Taylor Mader	SC	Rheumatology Physician	$3.1M	$0
Dean Stephens	GA	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
Paul Sutej	GA	Rheumatology Physician	$2.4M	$0
Durga Adhikari	SC	Rheumatology Physician	$2.4M	$0
Marta Bognar	GA	Rheumatology Physician	$2.3M	$0
Brent Flickinger	GA	Rheumatology Physician	$2.3M	$0
Kathleen Flint	SC	Rheumatology Physician	$2.3M	$0
Colin Edgerton	SC	Rheumatology Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roper St Francis Hospital-berkeley Inc.	SC	General Acute Care Hospital	$0	$7.3M
Charleston Surgery Center Limited Partnership	SC	Ambulatory Surgical Clinic/Center	$2.6M	$2M
Broad River Physicians Group, LLC	SC	Emergency Medicine Physician	$0	$3M
Sfd Kids LLC	SC	Dentist	$0	$2.4M
Jennifer Murphy	SC	Rheumatology Physician	$1.4M	$0
Gregory Niemer	SC	Rheumatology Physician	$1.4M	$0
Low Country Endoscopy Center, LLC	SC	Ambulatory Surgical Clinic/Center	$524.9K	$93.6K
Michael Marte	SC	Hematology & Oncology Physician	$607.8K	$0
Nicholas Holdgate	SC	Rheumatology Physician	$557.8K	$0
Bradley Collins	SC	Rheumatology Physician	$390.9K	$0

Clarence Legerton — Billing Profile & Reimbursement Data

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Clarence Legerton — 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