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.

Allergy Partners, PLLC (NPI 1598755910)

Allergy Partners, PLLC is a allergy & immunology physician provider located in Spartanburg, South Carolina. This profile covers 0 Medicare and 17 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	Allergy Partners, PLLC
Address	98 Willow Ln
City	Spartanburg
State	SC
ZIP	29307
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	October 26, 2005

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,700	$160	$751.2K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	3,630	$90	$334K
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…	4,770	$50	$233.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	13,710	$20	$233K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	26,940	$10	$188.6K
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…	1,520	$120	$175.1K
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…	2,250	$70	$166.5K
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…	630	$80	$51.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	350	$140	$46.6K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	6,820	$10	$40.9K

Showing 1–10 of 17

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

Allergy Partners, PLLC — 3 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	6	10	340	$310	$376.3K
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.	3	40	120	$220	$367.6K
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…	382	2,770	210	$60	$254.5K
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…	568	2,480	350	$80	$246K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	5	30	860	$130	$203.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	36	110	70	$150	$157.3K
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…	245	410	330	$50	$152.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	6	270	120	$50	$93.2K
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…	93	520	70	$70	$67.1K
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…	33	490	90	$100	$63.6K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allergy Partners, PLLC	NM	Allergy & Immunology Physician	$0	$5M
Allergy Partners, PLLC	IN	Allergy & Immunology Physician	$0	$3.1M
Allergy Partners, PLLC	SC	Allergy & Immunology Physician	$0	$3M
Allergy Partners, PLLC	SC	Allergy & Immunology Physician	$0	$1.6M
Allergy Partners, PLLC	NM	Allergy & Immunology Physician	$0	$1.4M
Eric Karlin	VA	Allergy & Immunology Physician	$564.6K	$1.6K
Michael Neuland	FL	Allergy & Immunology Physician	$471.8K	$0
Sol Drapkin	IL	Allergy & Immunology Physician	$409.6K	$28.8K
Andrew Davidson	SC	Allergy & Immunology Physician	$355.1K	$14.6K
Stephen Shield	VA	Allergy & Immunology Physician	$351.2K	$1.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charles Lea Center Inc.	SC	In Home Supportive Care Agency	$0	$70.3M
Spartanburg School District 7	SC	Local Education Agency (LEA)	$0	$9.2M
Elite Home Care	SC	In Home Supportive Care Agency	$0	$6.9M
Spartanburg Medical Center	SC	Urgent Care Clinic/Center	$0	$4.2M
Spartanburg Medical Center	SC	Obstetrics & Gynecology Physician	$0	$3.3M
Circle Of Angels Home Health Care	SC	Home Health Agency	$0	$3M
Spartanburg Pediatric Dentistry	SC	Pediatric Dentistry	$0	$2.7M
Mary Black Health System LLC	SC	General Acute Care Hospital	$0	$2.3M
Lincare Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$2M
The Forrester Center For Behavioral Health, Inc.	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.9M

Allergy Partners, PLLC — Billing Profile & Reimbursement Data

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Allergy Partners, PLLC — 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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