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.

Charleston Radiologists PA (NPI 1811000177)

Charleston Radiologists PA is a diagnostic radiology physician provider located in Mount Pleasant, South Carolina. This profile covers 0 Medicare and 37 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	Charleston Radiologists PA
Address	1241 Woodland Avenue
City	Mount Pleasant
State	SC
ZIP	29464
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,730	$50	$609.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	16,510	$20	$379.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	70,430	$10	$352.2K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	7,560	$30	$211.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	24,030	$10	$168.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,440	$30	$63.3K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	1,790	$20	$35.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	790	$50	$35.7K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	670	$40	$23.3K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	330	$50	$15.6K

Showing 1–10 of 37

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

Charleston Radiologists PA — 5 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. South Carolina median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	41	50	90	$220	$222.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	64	100	240	$100	$187.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	5	130	2,060	$30	$112.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6	130	1,660	$30	$108.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	5	180	2,270	$10	$64.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	14	80	460	$60	$61.8K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	76	90	260	$100	$58.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	7	260	420	$20	$58.1K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	109	120	180	$90	$51.6K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	30	80	500	$50	$48.2K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marcin Czarniecki	MD	Diagnostic Radiology Physician	$503.1K	$0
Jon Carmain	SC	Diagnostic Radiology Physician	$275.2K	$0
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K
Nicholas Mayes	SC	Diagnostic Radiology Physician	$219.4K	$100
Jonathan Lehman	NM	Diagnostic Radiology Physician	$216.8K	$0
Brian Burke	SC	Diagnostic Radiology Physician	$207.4K	$100
Joshua Macatol	SC	Diagnostic Radiology Physician	$203.6K	$100
David Moon	MN	Diagnostic Radiology Physician	$190.3K	$0
Sameul Hanif	IL	Vascular & Interventional Radiology Physician	$87.5K	$86.4K
Alexandra Wright	SC	Diagnostic Radiology Physician	$156.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Therapy Services, Inc.	SC	Speech-Language Pathologist	$0	$6.8M
The Southeastern Spine Institute Ambulatory Surgery Center, LLC	SC	Ambulatory Surgical Clinic/Center	$4M	$0
Bloom Children's Therapy	SC	Pediatric Occupational Therapist	$0	$3.5M
Christopher Michaelis	SC	Emergency Medicine Physician	$3.3M	$0
Carolina Family Care, Inc	SC	Clinical Medical Laboratory	$1.8M	$1.3M
East Cooper Community Hospital, Inc.	SC	General Acute Care Hospital	$0	$3M
Allergy & Asthma Consultants, LLP	SC	Allergy & Immunology Physician	$0	$2.6M
Francisco Folgar	SC	Ophthalmology Physician	$2.3M	$0
Amanda Acree	SC	Clinical Social Worker	$0	$2.3M
Path Finders Team Services	SC	Early Intervention Provider Agency	$0	$2M

Charleston Radiologists PA — Billing Profile & Reimbursement Data

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Charleston Radiologists PA — 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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