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.

Carol Ann Berry (NPI 1497755052)

Field	Value
Entity Type	Individual
Organization	Carol Ann Berry
Address	600 E Palmetto St
City	Florence
State	SC
ZIP	29506
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicare	$4.5K
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
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	310	$10	$3.8K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	30	$20	$440
72040	The patient has a 2– or 3–view X–ray of the neck vertebrae.	20	$10	$220

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

Carol Ann Berry — 1 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
72100	337	630	30	$20	$940
80305	3	90	30	$10	$820
72040	199	330	20	$20	$590

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Hopehealth, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$11.1M
Hopehealth Hospice & Palliative Care	MA	Community Based Hospice Care Agency	$0	$8.6M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$4.6M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Firstchoice Healthcare PC	SC	Family Medicine Physician	$0	$3M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.7M
Hopehealth, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.4M
Elizabeth Snoderly	SC	Pain Medicine (Anesthesiology) Physician	$531.3K	$0
Tony Owens	SC	Pain Medicine (Anesthesiology) Physician	$509.8K	$18.4K

Carol Ann Berry — Billing Profile & Reimbursement Data

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Carol Ann Berry — 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

Frequently Asked Questions

References