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.

Betty Abernathy (NPI 1306827431)

Field	Value
Entity Type	Individual
Organization	Betty Abernathy
Address	1241 Boiling Springs Rd
City	Spartanburg
State	SC
ZIP	29303
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 7, 2005

Payer Source	Total Paid
Medicare	$8.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70	$50	$3.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$100	$1.8K
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…	40	$40	$1.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$650
99441	N/A	20	$20	$290
G0442	Annual alcohol misuse screening, 5 to 15 minutes	20	$20	$290
G0444	Annual depression screening, 5 to 15 minutes	20	$20	$270
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes	10	$20	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Betty Abernathy — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,551	7,860	160	$80	$23.2K
G0439	1,678	1,870	80	$120	$14.5K
99213	5,573	7,690	100	$60	$10.8K
36415	1,288	2,090	140	$10	$2.7K
G0444	344	390	70	$20	$1.9K
G0442	134	160	60	$20	$1.6K
99441	76	110	20	$30	$1K
G0443	2	10	20	$20	$520

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med First Immediate Care & Family Practice, PA	NC	Family Medicine Physician	$0	$14.8M
Rodolfo Reyes	NC	Internal Medicine Physician	$342K	$0
Kenneth Shank	NC	Family Medicine Physician	$201.1K	$0
Chukwuemeka Oji	AZ	Hospitalist Physician	$130.9K	$0
Edward Haga	NC	Family Medicine Physician	$129.1K	$0
Brenda Scronce	NC	Physician Assistant	$79.3K	$0
Maria Dichoso-wood	NC	Family Medicine Physician	$67.9K	$0
Veronica Brady	NC	Nurse Practitioner	$33K	$0
Christine Han	NC	Physician Assistant	$31K	$0
James Lessard	AP (Armed Forces Pacific)	Physician Assistant	$14.8K	$0

Betty Abernathy — Billing Profile & Reimbursement Data

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Betty Abernathy — 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

Frequently Asked Questions

References