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 Martin (NPI 1588622641)

Field	Value
Entity Type	Individual
Organization	James Martin
Address	566 Spears Creek Church Rd
City	Elgin
State	SC
ZIP	29045
Taxonomy	Family Medicine Physician
NPI Enumerated	May 1, 2006

Payer Source	Total Paid
Medicare	$305.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

39 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…	1,300	$90	$115.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	260	$120	$32K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	190	$120	$23.7K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	260	$70	$19.2K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	300	$60	$19.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	120	$140	$16.4K
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…	180	$70	$11.8K
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…	1,040	$10	$10.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	310	$30	$9.8K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	80	$70	$5.5K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

James Martin — 4 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

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99489	337	340	360	$50	$41.4K
93306	383	450	230	$80	$23.9K
99214	185	7,860	160	$80	$23.2K
99487	188	350	80	$80	$15.7K
17000	259	300	340	$30	$15K
G0439	241	1,870	80	$120	$14.5K
99213	2,380	7,690	100	$60	$10.8K
99215	1,492	2,360	40	$120	$9.3K
99490	115	650	80	$40	$8.9K
87636	8	70	60	$140	$8.7K

Showing 1–10 of 39

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seal Society Of South Carolina Inc	SC	Physical Therapy Clinic/Center	$0	$11M
Camisha Williams	SC	Speech-Language Pathologist	$0	$2.4M
Deidra Burke	SC	Occupational Therapist	$0	$1.9M
Manish Patel	SC	Urology Physician	$459.7K	$0
Yolonda Hart	SC	Occupational Therapist	$99.5K	$0
Austin Kuhn	SC	Clinical Social Worker	$48.2K	$21.6K
Eva Reynolds	SC	Family Nurse Practitioner	$38.3K	$0
Carrie Black	SC	Physical Therapist	$31.7K	$0

James Martin — Billing Profile & Reimbursement Data

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James Martin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References