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.

Ben Wilson (NPI 1558364109)

Field	Value
Entity Type	Individual
Organization	Ben Wilson
Address	10701 Anderson Rd
City	Easley
State	SC
ZIP	29642
Taxonomy	Family Medicine Physician
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicare	$48K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	380	$80	$29.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$110	$9.7K
99442	N/A	110	$50	$5K
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…	50	$60	$2.7K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	10	$70	$750
G0008	Administration of influenza virus vaccine	20	$30	$490
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Ben Wilson — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,981	7,860	160	$80	$23.2K
G0439	831	1,870	80	$120	$14.5K
99213	5,390	7,690	100	$60	$10.8K
90694	1,027	1,050	70	$80	$9.5K
G0008	1,978	2,330	60	$30	$3.1K
99442	9	170	20	$50	$2.3K
81003	1,481	1,870	40	$1	$200

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Francis Hospital Inc	SC	General Acute Care Hospital	$0	$17.8M
St Francis Hospital, Inc.	SC	General Acute Care Hospital	$0	$13M
St. Francis Hospital Inc	SC	General Acute Care Hospital	$0	$9M
A. Thomas Siachos	SC	Cardiovascular Disease Physician	$429.2K	$0
Craig Mccotter	NC	Clinical Cardiac Electrophysiology Physician	$428.2K	$0
Edward Stewart	SC	Cardiovascular Disease Physician	$420.4K	$0
Matthew Sellers	SC	Clinical Cardiac Electrophysiology Physician	$417K	$0
Jon Bittrick	SC	Cardiovascular Disease Physician	$340.4K	$0
James Merriam	SC	Cardiovascular Disease Physician	$332.5K	$0
Matthew Nessmith	SC	Cardiovascular Disease Physician	$296.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firstchoice Healthcare PC	SC	Family Medicine Physician	$0	$3M
Csp Enterprises LLC	SC	Pain Medicine Physician	$0	$2.3M
Ph Health Care Services Inc	SC	Community Based Hospice Care Agency	$0	$2M
Indigo Pediatric Dentistry	SC	Pediatric Dentistry	$0	$1.8M
Brian Johnson	SC	Ophthalmology Physician	$539.3K	$0
Joseph O'quinn	SC	Pain Medicine Physician	$421.3K	$0
Lisa Finch	SC	Family Nurse Practitioner	$214.7K	$0
Henry Igdal	SC	General Practice Physician	$188.7K	$0
Gerald Brown	SC	Acute Care Nurse Practitioner	$177.4K	$0
Michele Sweet	SC	Family Nurse Practitioner	$158.7K	$0

Ben Wilson — Billing Profile & Reimbursement Data

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Ben Wilson — 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

Nearby Providers

Frequently Asked Questions

References