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.

Firstchoice Healthcare PC (NPI 1912001264)

Firstchoice Healthcare PC is a family medicine physician provider located in Easley, South Carolina. This profile covers 0 Medicare and 45 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	Firstchoice Healthcare PC
Address	115 Brushy Creek Rd
City	Easley
State	SC
ZIP	29642
Taxonomy	Family Medicine Physician
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

45 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…	30,470	$30	$853.2K
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…	22,600	$40	$836.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6,360	$60	$388.1K
J3300	Injection, triamcinolone acetonide, preservative free, 1 mg	4,560	$50	$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.	4,140	$60	$231.9K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	1,650	$40	$69.5K
99204	The provider sees a new 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 provider…	870	$60	$54.7K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	670	$70	$48.1K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	690	$60	$39.2K
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…	700	$50	$35.5K

Showing 1–10 of 45

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

Firstchoice Healthcare PC — 7 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8	10	13,730	$90	$1.2M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	53	110	1,880	$100	$414K
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…	78	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…	61	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.	43	160	1,480	$30	$126.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	34	270	120	$50	$93.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	315	360	100	$100	$76.9K
J3300	Injection, triamcinolone acetonide, preservative free, 1 mg	1	10	740	$50	$76.7K
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…	85	520	70	$70	$67.1K
99204	The provider sees a new 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 provider…	56	490	90	$100	$63.6K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elizabeth Snoderly	SC	Pain Medicine (Anesthesiology) Physician	$531.3K	$0
Tony Owens	SC	Pain Medicine (Anesthesiology) Physician	$509.8K	$18.4K
Regina Morris Solis	FL	Pain Medicine (Anesthesiology) Physician	$497.5K	$0
Joseph O'quinn	SC	Pain Medicine Physician	$421.3K	$0
Blake Leche	SC	Anesthesiology Physician	$348.9K	$0
Stephen Boatwright	SC	Pain Medicine (Anesthesiology) Physician	$309.3K	$0
Sybil Reddick	GA	Physical Medicine & Rehabilitation Physician	$237.7K	$0
Damien Bailey	NY	Family Nurse Practitioner	$224.7K	$0
Ruth Anderson	NC	Pain Medicine Physician	$218.8K	$0
Ryan Krafft	AR	Interventional Pain Medicine Physician	$175.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Csp Enterprises LLC	SC	Pain Medicine Physician	$0	$2.3M
Ph Health Care Services Inc	SC	Community Based Hospice Care Agency	$0	$2M
Indigo Pediatric Dentistry	SC	Pediatric Dentistry	$0	$1.8M
Brian Johnson	SC	Ophthalmology Physician	$539.3K	$0
Lisa Finch	SC	Family Nurse Practitioner	$214.7K	$0
Henry Igdal	SC	General Practice Physician	$188.7K	$0
Gerald Brown	SC	Acute Care Nurse Practitioner	$177.4K	$0
Michele Sweet	SC	Family Nurse Practitioner	$158.7K	$0
Michael Jones	SC	Family Nurse Practitioner	$123.7K	$0
Joseph Pilgrim	SC	Physical Therapist	$121.1K	$0

Firstchoice Healthcare PC — Billing Profile & Reimbursement Data

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Firstchoice Healthcare PC — 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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