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.

James Benner (NPI 1447336177)

Field	Value
Entity Type	Individual
Organization	James Benner
Address	9313 Medical Plaza Dr
City	North Charleston
State	SC
ZIP	29406
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicare	$128.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	50	$1,320	$61.9K
35301	The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.	30	$820	$22.8K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	40	$550	$19.4K
33519	The provider diverts blood flow from damaged vessels in the heart by grafting three vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery…	30	$400	$10K
33518	The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…	20	$300	$4.5K
37226	N/A	20	$230	$4.4K
33268	At the same session as a primary procedure requiring sternotomy or thoracotomy, the provider performs exclusion, such as by excision, of the left atrial appendage, a small, pouchlike sac in the top…	40	$100	$3.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$60	$880
76998	The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.	20	$50	$870
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	50	$10	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

James Benner — 0 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33533	4	70	20	$920	$24K
33361	27	50	40	$560	$22K
35301	1	20	20	$650	$12.4K
37226	1	10	20	$270	$5.2K
33519	2	20	10	$280	$4.5K
33518	10	30	10	$240	$3.8K
99221	275	370	20	$60	$1.7K
33268	2	20	20	$70	$1.4K
76998	11	20	20	$50	$1.3K
33508	6	50	30	$10	$250

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Carolina Multispecialty Associates, LLC	SC	Specialist	$0	$4.1M
Adam Keefer	SC	Vascular Surgery Physician	$638.8K	$0
Darren Sidney	SC	Cardiovascular Disease Physician	$577.2K	$0
Daniel Krcelic	AZ	Vascular Surgery Physician	$554.4K	$0
Frank Cuoco	SC	Clinical Cardiac Electrophysiology Physician	$526.7K	$0
Robert Pringle	SC	Interventional Cardiology Physician	$281.4K	$0
Donald Saunders	SC	Interventional Cardiology Physician	$267.8K	$0
Patrick Looser	SC	Interventional Cardiology Physician	$189.3K	$0
Anand Sharma	SC	Radiation Oncology Physician	$170.7K	$0
Lawrence Conley	SC	Orthopaedic Surgery Physician	$88.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trident Medical Center, LLC	SC	General Acute Care Hospital	$0	$55.8M
Sweetgrass Pediatrics	SC	Pediatrics Physician	$0	$37.1M
Trident Ambulatory Surgery Center, L.P.	SC	Ambulatory Surgical Clinic/Center	$1M	$10.9M
Palmetto Pediatrics, PA	SC	Pediatrics Physician	$0	$9M
Taylor Consultants, LLC	SC	Case Manager/Care Coordinator	$0	$7.5M
Charleston Children's Therapy Center, LLC	SC	Pediatric Physical Therapist	$0	$5.7M
Trident Medical Center, LLC	SC	General Acute Care Hospital	$0	$4.1M
Med-trans Corporation	SC	Air Ambulance	$292K	$3.6M
Oral Surgery Of South Carolina LLC	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$3.8M
Crossroads Treatment Center Of Charleston, PC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$153.1K	$3.2M

James Benner — 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