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.

Woodrow Coker (NPI 1508028366)

Field	Value
Entity Type	Individual
Organization	Woodrow Coker
Address	171 Ashley Ave
City	Charleston
State	SC
ZIP	29425
Taxonomy	Hospitalist Physician
NPI Enumerated	July 1, 2008

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This provider’s Medicare revenue totals $2.6M while there is no Medicaid billing on file, so the practice is effectively single‑payer with respect to public programs. The absence of any Medicaid activity means Medicare payment policy and utilization patterns dominate the provider’s publicly visible revenue profile and payer risk exposure.

Revenue is highly concentrated in a small set of injectable therapies: the top three Medicare codes (J9271, J0897, J9299) account for 67.7% of the provider’s total Medicare revenue. Individually these codes represent $823.2K revenue (33.1%) for J9271, $482.8K revenue (19.4%) for J0897, and $380.2K revenue (15.3%) for J9299, indicating heavy dependence on a few high‑revenue biologic/immunotherapy agents.

The code mix is dominated by high‑cost oncology and supportive care injectables (J9271 pembrolizumab, J9299 nivolumab, J0897 denosumab) alongside chemotherapy administration codes such as 96413 and infusion administration codes like 96365/96367. This pattern is most consistent with an infusion‑oriented oncology practice or a hospital outpatient infusion program rather than a pure primary care panel, despite the listed taxonomy of Hospitalist Physician.

J0897 (denosumab) is an outlier in national volume: it accounts for $482.8K revenue (19.4%) and ranks #129 of 10057 providers nationally (99th percentile), which the file characterizes as an extreme outlier far above typical national volume. That unusually high national ranking suggests this provider is an unusually large dispenser of this agent relative to most peers, and denosumab utilization is a distinctive feature of the billing profile.

By contrast, J9271 (pembrolizumab) and J9299 (nivolumab) show more typical participation: J9271 generates $823.2K (33.1%) and ranks #417 of 1841 providers nationally (77th percentile), while J9299 generates $380.2K (15.3%) and ranks #228 of 505 providers nationally (55th percentile). Those percentiles indicate meaningful oncology infusion volume but not national dominance for those specific immunotherapies.

The practice also reports unusually high volumes for several ancillary and evaluation codes that support infusion care: 99214 yields $136.4K (5.5%) and ranks #3379 of 479517 providers nationally (99th percentile; labeled an extreme outlier), while 36415, 96372, and several common lab panels (85025, 80048, 80076) appear at very high percentiles as well. High percentile placement on established E&M, phlebotomy, injection administration, and lab codes points to steady throughput of outpatient visits and infusion encounters that generate both procedure and supporting diagnostic revenue.

Advanced imaging and procedural codes are present but are modest revenue contributors: 78815 (PET/CT) contributes $30.1K (1.2%) and 74177 (CT abdomen/pelvis) contributes $27K (1.1%), with national ranks that are in the middle of peer distributions and described as typical, unremarkable volumes. These imaging items complement the infusion and oncology mix but do not drive the revenue profile.

The provider has a long Medicare billing history, with NPI enumeration on 2008-07-01 (~18 years ago). That tenure, combined with concentrated oncology biologic billing and repeated high percentiles on supporting services, suggests an established practice pattern focused on infusion and oncology‑supportive services within the Medicare population.

Medicare: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	19,600	$40	$823.2K
J0897	Injection, denosumab, 1 mg	26,820	$20	$482.8K
J9299	Injection, nivolumab, 1 mg	15,840	$20	$380.2K
J1449	Injection, eflapegrastim-xnst, 0.1 mg	6,070	$30	$151.8K
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…	1,530	$90	$136.4K
Q5122	Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg	800	$90	$73.2K
J1439	Injection, ferric carboxymaltose, 1 mg	72,000	$1	$72K
J1627	Injection, granisetron, extended-release, 0.1 mg	12,400	$10	$62K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	440	$90	$41.1K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	20,520	$1	$41K

Showing 1–10 of 83

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 83 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Woodrow Coker — 8 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. state median

83 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	16	30	19,700	$40	$832K
J9299	7	10	15,760	$20	$432K
J1449	1	10	4,090	$30	$98.8K
J0897	5	250	2,400	$20	$91.2K
J3490	18	50	70	$510	$57.7K
Q5122	3	10	540	$90	$55.6K
J1627	3	10	10,400	$1	$46.3K
J1439	7	30	42,750	$1	$42.3K
J0881	3	10	19,760	$1	$42.3K
78815	86	120	80	$220	$25.8K

Showing 1–10 of 83

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Associates Of The Medical University Of South Carol	SC	Family Medicine Physician	$0	$56.6M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Musc Community Physicians	SC	Internal Medicine Physician	$0	$16.7M
University Medical Associates	SC	Pediatrics Physician	$0	$9.2M
Kershaw Hospital LLC	SC	General Acute Care Hospital	$0	$8M
University Medical Associates Of The Medical University Of South Carol	SC	Obstetrics & Gynecology Physician	$0	$6.1M
Musc Community Physicians	SC	Family Medicine Physician	$0	$5.6M
University Medical Associates Of The Medical University Of South Carol	SC	Diagnostic Radiology Physician	$0	$5.4M
Charles Butler	SC	Internal Medicine Physician	$3.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$241.1M
Medical University Hospital Authority	SC	Psychologist	$0	$32.6M
Musc Affiliate Physicians	SC	Family Medicine Physician	$0	$14.7M
Medical University Hospital Authority	SC	Pediatrics Physician	$0	$12.4M
University Medical Associates Of The Medical University Of South Carol	SC	Emergency Medicine Physician	$0	$3.6M
University Medical Associates Of The Medical University Of South Carol	SC	Pediatrics Physician	$0	$3.5M
University Medical Associates Of The Medical University Of South Carol	SC	Psychiatry Physician	$0	$3.3M
Rosalee Unwin	SC	Family Nurse Practitioner	$2.9M	$0
Jennifer Douglas	SC	Physician Assistant	$2.9M	$0
University Medical Associates Of The Medical University Of South Carol	SC	Multi-Specialty Clinic/Center	$0	$2.8M

Woodrow Coker — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References