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.

Conway Hospital Emergency Professional Services (NPI 1487844510)

Field	Value
Entity Type	Organization
Organization	Conway Hospital Emergency Professional Services
Address	300 Singleton Ridge Road
City	Conway
State	SC
ZIP	29526
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 25, 2007

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	39,790	$80	$3.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	38,170	$40	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,490	$100	$1.3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,700	$1	$6.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	220	$30	$6.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$130	$3.6K

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

Conway Hospital Emergency Professional Services — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	27	340	110	$40	$450.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16	350	100	$50	$446.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	38	200	1,680	$50	$443.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	104	140	2,520	$90	$415.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	65	70	250	$90	$50.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	44	160	160	$1	$21.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Conway Hospital Emergency Professional Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Conway Hospital, Inc.	SC	General Acute Care Hospital	$0	$20.2M
Conway Hospital Inc	SC	Pediatrics Physician	$0	$4.9M
Conway Hospital, Inc.	SC	Pediatrics Physician	$0	$2.9M
Conway Hospital, Inc.	SC	Obstetrics & Gynecology Physician	$0	$2.2M
Victoriya Strukova	SC	Rheumatology Physician	$624.4K	$0
Michael Zdunich	SC	Medical Physician Assistant	$344.8K	$0
William Prenatt	SC	Family Medicine Physician	$284K	$1.3K
Amudhan Jyothidasan	NC	Interventional Cardiology Physician	$235.4K	$0
Robert Kodsi	SC	Gastroenterology Physician	$216.3K	$6.1K
Boris Shklyar	SC	Emergency Medicine Physician	$184.1K	$7.1K

Nearby Providers

Other providers in the same ZIP code as Conway Hospital Emergency Professional Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
Horry County Disabilities & Special Needs Board	SC	Developmentally Disabled Services Day Training Agency	$0	$25.7M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Carolina Radiology Associates LLC	SC	Diagnostic Radiology Physician	$0	$9.2M
Horry County Government	SC	Land Ambulance	$4M	$4.4M
Coastal Pediatrics	SC	Primary Care Clinic/Center	$0	$5.1M
Carolina Care Medical Supply LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Nicholas Marchase	SC	Ophthalmology Physician	$4.1M	$306.4K
Horry County Comm On Alcohol & Drug Abuse	SC	Community/Behavioral Health Agency	$0	$4.2M
Palmetto Pediatrics Of Conway	SC	Specialist	$0	$4M

Conway Hospital Emergency Professional Services — Billing Profile & Reimbursement Data

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Conway Hospital Emergency Professional Services — 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