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    OpenPayerNPI Medicare & MedicaidCarla Graham
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    Carla Graham — Billing Profile & Reimbursement Data

    NPI 1871541789 · Florence, SC · Specialist

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    Carla Graham is a specialist provider located in Florence, South Carolina. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationCarla Graham
    Address1714 Gregg Ave
    CityFlorence
    StateSC
    ZIP29501
    TaxonomySpecialist
    NPI EnumeratedMay 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$320.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…2,020$40$70.8K
    11310The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.680$50$35.3K
    11311The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.430$80$33.6K
    11301The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.390$60$24.9K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.110$220$24.3K
    12053This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 5.1 to 7.5 cm in size.70$270$18K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.140$110$15.2K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.150$100$14.8K
    11306The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.180$70$12.3K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.40$240$9.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    120322613050$190$14.9K
    1131241030$100$13.4K
    11306104080$60$12.3K
    11307223080$70$11.2K
    1131133040$70$8.2K
    12052204040$160$7.2K
    1130155030$60$6.8K
    1205311030$200$6K
    1131012040$60$5.3K
    116021413030$90$5.1K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nightingale's Nursing & Attendant Care Services, Inc.SCHome Health Agency$0$90M
    Florence Ck, LLCSCHome Health Agency$0$13.3M
    Lifehme, Inc.SCOxygen Equipment & Supplies (DME)$0$12M
    Hopehealth, Inc.SCFederally Qualified Health Center (FQHC)$0$11.1M
    Advanced Healthcare Staffing Solutions, LLCSCHome Health Agency$0$11M
    Irby Street Dental Health Center, P.C.SCGeneral Practice Dentistry$0$10.5M
    Tender Care Home Health Care LLCSCHome Health Agency$0$8.1M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$5.2M
    Starting Point Of Florence, IncSCSubstance Use Disorder Rehabilitation Clinic/Center$181.2K$4.6M
    Florence County Commission On Alcohol And DruSCSubstance Abuse Rehabilitation Facility$0$4.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Carla Graham — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina