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.

Keowee Primary Care & Internal Medicine PC (NPI 1548371222)

Keowee Primary Care & Internal Medicine PC is a internal medicine physician provider located in Seneca, South Carolina. This profile covers 0 Medicare and 97 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Keowee Primary Care & Internal Medicine PC
Address	109 Carter Park Dr
City	Seneca
State	SC
ZIP	29678
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	14,610	$40	$613.8K
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…	8,580	$40	$360.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	3,040	$80	$239.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	960	$70	$62.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,450	$40	$62.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	750	$80	$62.3K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	890	$50	$45.5K
83880	The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…	1,310	$30	$36.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	1,110	$30	$27.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	700	$40	$27.4K

Showing 1–10 of 97

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

Keowee Primary Care & Internal Medicine PC — 1 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. South Carolina median

97 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	77	110	1,880	$100	$414K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	20	40	120	$220	$367.6K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	76	150	2,500	$50	$324.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	169	2,770	210	$60	$254.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	126	710	350	$60	$247.2K
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…	177	2,480	350	$80	$246K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	30	50	170	$60	$206K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	57	140	690	$80	$153.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	80	410	330	$50	$152.6K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	89	180	1,360	$20	$152.1K

Showing 1–10 of 97

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tauqueer Alam	SC	Internal Medicine Physician	$652.5K	$26K
Sydney Johnson	SC	Physician Assistant	$187K	$0
Amy Caldwell	SC	Family Nurse Practitioner	$31K	$0
Jenna Bishop	SC	Family Nurse Practitioner	$17.9K	$0
Nalini Anumula	SC	Family Nurse Practitioner	$17K	$0
Rachel Langenfeld	SC	Physician Assistant	$13.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Issaqueena Pediatric Dentistry P.A.	SC	Pediatric Dentistry	$0	$15.3M
Oconee Pediatrics	SC	Rural Health Clinic/Center	$0	$8.5M
Blue Ridge Pediatrics LLC	SC	Rural Health Clinic/Center	$0	$5.6M
Crossroads Treatment Center Of Seneca, PC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.9M
Childrens Therapy Center, Inc.	SC	Pediatric Occupational Therapist	$0	$1.6M
The Blue Ridge Clemson Orthopaedic Asc LLC	SC	Ambulatory Surgical Clinic/Center	$553.6K	$0
Jared Richardson	SC	Family Medicine Physician	$489.3K	$0
Osman Hicklin	SC	Diagnostic Radiology Physician	$381.3K	$0
Scott Massios	SC	Ophthalmology Physician	$369.2K	$0
James Hardy	SC	Diagnostic Radiology Physician	$329.2K	$0

Keowee Primary Care & Internal Medicine PC — Billing Profile & Reimbursement Data

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Keowee Primary Care & Internal Medicine PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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