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.

Mark Waldrop (NPI 1689657264)

Field	Value
Entity Type	Individual
Organization	Mark Waldrop
Address	2515 Evans St
City	Newberry
State	SC
ZIP	29108
Taxonomy	Geriatric Physical Therapist
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicare	$217.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,610	$20	$101.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4,090	$20	$61.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2,360	$10	$33K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	100	$70	$6.7K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	90	$70	$5.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	190	$20	$3.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	120	$20	$2.2K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	110	$10	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Mark Waldrop — 3 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	9	1,250	600	$20	$20K
97110	50	1,390	710	$20	$19.2K
97112	624	870	250	$20	$8.2K
97140	29	1,100	240	$20	$6.9K
97535	84	250	100	$20	$4.5K
97161	90	600	30	$70	$3.6K
97162	36	660	30	$70	$2.7K
G0283	152	260	150	$10	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mathew Whitaker	SC	Physical Therapist	$253.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newberry County Disabilities And Special Needs Board	SC	Public Health or Welfare Agency	$0	$9.5M
Newberry County Memorial Hospital	SC	General Acute Care Hospital	$0	$8.1M
Newberry County School District	SC	Speech-Language Pathologist	$0	$3.2M
Newberry County Memorial Hospital	SC	Emergency Medicine Physician	$0	$2.7M
Newberry Ob Gyn, P.A.	SC	Obstetrics & Gynecology Physician	$0	$1.7M
Newberry County Ems	SC	Land Ambulance	$468.5K	$758.5K
Mark Ezekiel	SC	Radiation Oncology Physician	$1.2M	$0
Alan Paysinger	SC	Internal Medicine Physician	$169K	$0
Wayne Harsha	SC	Otolaryngology Physician	$56.4K	$0
Ilya Averbuch	SC	Anesthesiology Physician	$10.6K	$16.7K

Mark Waldrop — Billing Profile & Reimbursement Data

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Mark Waldrop — 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