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.

Mary St.john (NPI 1457553984)

Field	Value
Entity Type	Individual
Organization	Mary St.john
Address	2719 Boundary St
City	Beaufort
State	SC
ZIP	29906
Taxonomy	Psychiatry Physician
NPI Enumerated	June 5, 2007

Payer Source	Total Paid
Medicare	$28.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	170	$70	$10.9K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	180	$60	$10.7K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	110	$60	$6.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Mary St.john — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,824	7,860	160	$80	$23.2K
90838	5	10	180	$70	$16.8K
90836	7	40	40	$60	$4K

Nearby Providers

Other providers in the same ZIP code as Mary St.john, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beaufort County Disabilities & Special Needs	SC	Case Management Agency	$0	$16.4M
Norman Bettle	SC	Neurology Physician	$779.2K	$0
Stuart Smalheiser	SC	Cardiovascular Disease Physician	$382.2K	$110
Mark Siegel	SC	Ophthalmology Physician	$280.7K	$0
Nicholas Dardes	SC	Internal Medicine Physician	$238.1K	$0
John Crisologo	SC	Gastroenterology Physician	$166.5K	$0
Richard Stewart	SC	Gastroenterology Physician	$138.9K	$0
David Harshman	SC	Cardiovascular Disease Physician	$122K	$770
Leland Stoddard	SC	Orthopaedic Surgery Physician	$88.8K	$0
Lee Butterfield	SC	Cardiovascular Disease Physician	$42.5K	$0

Mary St.john — Billing Profile & Reimbursement Data

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Mary St.john — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References