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.

James Horvath (NPI 1568678530)

Field	Value
Entity Type	Individual
Organization	James Horvath
Address	283 Dorchester Manor Blvd
City	North Charleston
State	SC
ZIP	29420
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicare	$35K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	910	$30	$25.5K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	250	$20	$5K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	370	$10	$3.4K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	20	$30	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

James Horvath — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	89	240	620	$30	$50.2K
88342	160	160	130	$40	$8.1K
88312	12	150	40	$50	$7.4K
88313	10	130	70	$30	$6.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ap Laboratories	SC	Clinical Medical Laboratory	$1.1M	$451.6K
Thomas Carico	GA	Anatomic Pathology & Clinical Pathology Physician	$277.9K	$5.2K
March Seabrook	SC	Gastroenterology Physician	$256.8K	$0
John Schaberg	SC	Gastroenterology Physician	$243.9K	$720
James Richter	SC	Gastroenterology Physician	$241.9K	$0
Joshua Wilson	SC	Gastroenterology Physician	$208.6K	$0
Rajeev Vasudeva	SC	Gastroenterology Physician	$204.6K	$0
Ikechukwu Ibegbu	NC	Gastroenterology Physician	$203.7K	$0
Nelson Seabrook	SC	Gastroenterology Physician	$193K	$0
Venkatasomaiah Motaparthy	NC	Gastroenterology Physician	$188.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Doctors LLC	SC	Family Medicine Physician	$0	$12.2M
Heartland Hospice Services, LLC	SC	Community Based Hospice Care Agency	$0	$3.8M
John Redwine	SC	Family Medicine Physician	$229.3K	$15.8K
John Ramey	SC	Allergy & Immunology Physician	$106.1K	$1.9K
Lee Chumney	SC	Physical Therapist	$81.6K	$0
Michelle Turk	SC	Occupational Therapist	$48K	$0

James Horvath — Billing Profile & Reimbursement Data

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James Horvath — 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