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.

Ashli O'rourke (NPI 1558574152)

Field	Value
Entity Type	Individual
Organization	Ashli O'rourke
Address	171 Ashley Ave
City	Charleston
State	SC
ZIP	29425
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicare	$279.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31574	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects one…	80	$880	$72.4K
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	320	$130	$41.4K
J0585	Injection, onabotulinumtoxina, 1 unit	6,460	$10	$32.3K
31572	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities and uses a laser…	50	$430	$19.4K
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…	180	$90	$16.5K
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…	200	$70	$13.3K
31573	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects a…	50	$290	$13K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	150	$90	$12.8K
74230	The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…	120	$90	$10.6K
99204	The provider sees a new 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 provider…	90	$120	$10.2K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Ashli O'rourke — 1 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31574	1	10	80	$880	$72.4K
J0585	55	90	7,800	$1	$60.8K
99214	3,655	7,860	160	$80	$23.2K
31572	1	10	50	$430	$19.4K
31579	2	20	30	$120	$12.3K
31573	2	10	50	$280	$11.8K
99213	2,143	7,690	100	$60	$10.8K
99215	1,094	2,360	40	$120	$9.3K
64617	2	10	50	$130	$7.4K
99204	988	4,520	40	$110	$6.4K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ashli O'rourke, 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
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Musc Community Physicians	SC	Internal Medicine Physician	$0	$16.7M
University Medical Associates	SC	Pediatrics Physician	$0	$9.2M
Au Medical Associates Emergency Medicine Billing Services, LLC	GA	Emergency Medicine Physician	$0	$8.9M
University Medical Associates Of The Medical University Of South Carol	SC	Obstetrics & Gynecology Physician	$0	$6.1M
Antonia Kolokythas	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.9M
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
University Medical Associates Of The Medical University Of South Carol	SC	Emergency Medicine Physician	$0	$3.6M

Nearby Providers

Other providers in the same ZIP code as Ashli O'rourke, 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	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	SC	Hospitalist Physician	$2.6M	$0

Ashli O'rourke — Billing Profile & Reimbursement Data

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Ashli O'rourke — 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