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.

Curana Health Of South Carolina PC (NPI 1316477896)

Field	Value
Entity Type	Organization
Organization	Curana Health Of South Carolina PC
Address	2375 Baker Hospital Blvd
City	North Charleston
State	SC
ZIP	29405
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 15, 2017

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	175,010	$20	$3.7M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	61,710	$30	$1.8M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	31,510	$10	$409.6K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	4,000	$70	$267.9K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,460	$60	$137.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	1,600	$10	$20.8K
99318	Deleted code, effective Jan. 1, 2023	600	$30	$20.5K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	2,140	$10	$17.1K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,670	$10	$16.7K
99358	Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.	580	$10	$5.8K

Showing 1–10 of 35

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

Curana Health Of South Carolina PC — 6 of 18 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	52	90	260	$430	$688.8K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	13	20	170	$40	$226.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	80	240	$20	$110.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1	30	110	$30	$78.9K
99336	N/A	20	20	330	$40	$68.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	225	320	60	$140	$52.7K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	7	10	120	$140	$32.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	9	60	220	$20	$31K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	90	480	$10	$30.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1	20	30	$60	$28.3K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Curana Health Of South Carolina PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Macon	SC	Internal Medicine Physician	$911.1K	$0
Victor Aguin Melendez	SC	Internal Medicine Physician	$634.6K	$0
Kenneth Santiago	SC	Internal Medicine Physician	$467.1K	$0
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0
Kimberly Cecchini-purgavie	SC	Physical Medicine & Rehabilitation Physician	$433.2K	$0
Tamara Chittenden	NC	Internal Medicine Physician	$371.4K	$0
Christopher Zakhary	SC	Internal Medicine Physician	$339.6K	$0
Binyue Chang	SC	Internal Medicine Physician	$318.1K	$0
Jeffrey Wilkins	SC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$303.6K	$0
Brandon Haubner	NC	Family Medicine Physician	$301.7K	$0

Nearby Providers

Other providers in the same ZIP code as Curana Health Of South Carolina PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$28.5M
Agape Hospice Of The Lowcountry LLC	SC	Community Based Hospice Care Agency	$0	$23.7M
Charleston County Government	SC	Land Ambulance	$4.1M	$7.6M
Charleston County Government	SC	Substance Abuse Rehabilitation Facility	$62.3K	$11M
Lowcountry Nursing Group LLC	SC	Nursing Care Agency	$0	$7.9M
Lifeguard Ambulance Service LLC	SC	Land Ambulance	$2.1M	$651.1K
Danyel Mcevoy	SC	Anatomic Pathology & Clinical Pathology Physician	$2.3M	$0
Steven Lopez Psychiatric Services	SC	Psychiatry Physician	$0	$2.2M
Center For Behavioral Health South Carolina LLC	SC	Methadone Clinic	$145.2K	$2M
Roper Saint Francis Physicians Network	SC	Clinical Medical Laboratory	$40.4K	$1.3M

Curana Health Of South Carolina PC — Billing Profile & Reimbursement Data

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Curana Health Of South Carolina PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References