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.

Self Regional Healthcare (NPI 1326067703)

Self Regional Healthcare is a family medicine physician provider located in Greenwood, South Carolina. This profile covers 0 Medicare and 42 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Self Regional Healthcare
Address	155 Academy Ave
City	Greenwood
State	SC
ZIP	29646
Taxonomy	Family Medicine Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

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

42 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…	17,320	$50	$883.1K
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…	21,430	$40	$814.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5,130	$30	$164.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,190	$60	$122.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,150	$60	$66.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	890	$70	$57.7K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	630	$80	$48.6K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	1,610	$20	$38.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	560	$50	$28.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	140	$120	$16.4K

Showing 1–10 of 42

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

Self Regional Healthcare — 2 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	84	280	600	$90	$299K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	216	240	260	$160	$257.9K
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…	119	2,770	210	$60	$254.5K
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…	87	2,480	350	$80	$246K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	132	380	160	$100	$226.8K
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…	19	20	170	$40	$226.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	302	390	100	$100	$148.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	170	230	430	$40	$129.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	294	340	110	$110	$107.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	92	650	140	$30	$98.1K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Self Regional Healthcare	SC	General Acute Care Hospital	$0	$58.8M
Self Medical Group	SC	Pediatrics Physician	$0	$3.3M
Self Regional Healthcare	SC	Home Health Agency	$0	$1.7M
Devin Antonovich	SC	Anesthesiology Physician	$507.3K	$0
Kumar Patel	SC	Neurology Physician	$302K	$0
Rollo Villareal	SC	Clinical Cardiac Electrophysiology Physician	$301.1K	$0
Smriti Banthia	FL	Clinical Cardiac Electrophysiology Physician	$294.1K	$0
Samuel Burnett Iii	SC	Internal Medicine Physician	$281.4K	$0
Omari Hodge	FL	Family Medicine Physician	$275K	$0
Shekar Kumar	SC	Cardiovascular Disease Physician	$231K	$140

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greenwood Genetic Center Lab	SC	Clinical Medical Laboratory	$0	$31.2M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
Carolina Health Centers, Inc.	SC	Pediatrics Physician	$0	$20.2M
Self Medical Group	SC	Emergency Medicine Physician	$0	$6M
Carolina Health Centers, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Greenwood Treatment Specialists	SC	Methadone Clinic	$75.9K	$3.2M
Greenwood County Ems	SC	Ambulance	$905.9K	$2.2M
Taylor Mader	SC	Rheumatology Physician	$3.1M	$0
Greenwood Obstetrics & Gynecology PA	SC	Obstetrics & Gynecology Physician	$0	$2.7M
Health Related Personnel Services, Inc.	SC	Physical Disabilities Residential Treatment Facility	$0	$2.6M

Self Regional Healthcare — Billing Profile & Reimbursement Data

Sign up for Self Regional Healthcare — Billing Profile & Reimbursement Data policy alerts

Self Regional Healthcare — Billing Profile & Reimbursement Data

Sign up for Self Regional Healthcare — 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