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.

Edward Rapp (NPI 1598794364)

Field	Value
Entity Type	Individual
Organization	Edward Rapp
Address	105 Vinecrest Ct
City	Greenwood
State	SC
ZIP	29646
Taxonomy	Surgery Physician
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicare	$36.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43282	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	20	$1,220	$23.2K
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…	150	$60	$9.1K
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…	60	$80	$4.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Edward Rapp — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43282	5	10	20	$950	$19K
99213	2,793	7,690	100	$60	$10.8K
99203	903	2,970	30	$70	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Javid Baksh	NC	Pain Medicine (Anesthesiology) Physician	$869.7K	$4.2K
William Long	SC	Podiatrist	$666.1K	$0
Bridgett Seagroves	SC	Family Medicine Physician	$363.6K	$0
Denis Atkinson	MN	Diagnostic Radiology Physician	$121.8K	$206.1K
Rollo Villareal	SC	Clinical Cardiac Electrophysiology Physician	$301.1K	$0
Syed Anwarulislam	NJ	Diagnostic Radiology Physician	$299.6K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Navid Ardakani	MN	Diagnostic Radiology Physician	$241.6K	$0
Shekar Kumar	SC	Cardiovascular Disease Physician	$231K	$140
Stephen Oljeski	PA	Diagnostic Radiology Physician	$156.1K	$40.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Self Regional Healthcare	SC	General Acute Care Hospital	$0	$58.8M
Greenwood Genetic Center Lab	SC	Clinical Medical Laboratory	$0	$31.2M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
Carolina Health Centers, Inc.	SC	Pediatrics Physician	$0	$20.2M
Self Medical Group	SC	Emergency Medicine Physician	$0	$6M
Carolina Health Centers, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
Greenwood Treatment Specialists	SC	Methadone Clinic	$75.9K	$3.2M
Self Medical Group	SC	Pediatrics Physician	$0	$3.3M
Greenwood County Ems	SC	Ambulance	$905.9K	$2.2M
Taylor Mader	SC	Rheumatology Physician	$3.1M	$0

Edward Rapp — Billing Profile & Reimbursement Data

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Edward Rapp — 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