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.

Premier Medical Center, Inc (NPI 1699704569)

Field	Value
Entity Type	Organization
Organization	Premier Medical Center, Inc
Address	5390 Dorchester Rd
City	North Charleston
State	SC
ZIP	29418
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,130	$40	$885.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	26,830	$30	$858.7K
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…	8,030	$50	$409.6K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	590	$100	$55.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	200	$100	$20.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	390	$1	$1.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	160	$10	$950
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$20	$460
99397	The provider performs an established well–patient visit for a patient who is 65 years or older.	40	$10	$190
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	70	$1	$140

Showing 1–10 of 15

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

Premier Medical Center, Inc — 4 of 13 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	130	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…	193	2,480	350	$80	$246K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	3	160	1,480	$30	$126.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	28	90	50	$90	$21.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	238	300	110	$10	$11.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1	20	40	$80	$8.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	7	10	40	$60	$5.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	153	320	60	$1	$2.4K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	19	70	60	$10	$1.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1	30	50	$10	$1.4K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eni Okonofua	SC	Internal Medicine Physician	$142.2K	$0
David Siegel	MI	Surgery Physician	$52.5K	$0

Nearby Providers

Other providers in the same ZIP code as Premier Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dorchester Dental Health PC	SC	Dental Clinic/Center	$0	$3.5M
Addus Healthcare (south Carolina), Inc.	SC	In Home Supportive Care Agency	$0	$2.7M
Robert Pringle	SC	Interventional Cardiology Physician	$281.4K	$0
Donald Saunders	SC	Interventional Cardiology Physician	$267.8K	$0
Monique Sandhu	SC	Interventional Cardiology Physician	$267.8K	$0
Patrick Looser	SC	Interventional Cardiology Physician	$189.3K	$0
Marabel Schneider	SC	Interventional Cardiology Physician	$53.4K	$0
James Cawthorne	SC	Podiatrist	$53.4K	$0
Tina Ellis	SC	Physician Assistant	$35.2K	$0
Ashley Allen	SC	Family Medicine Physician	$12.3K	$0

Premier Medical Center, Inc — Billing Profile & Reimbursement Data

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Premier Medical Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References