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.

Mcleod Physician Associates Ii (NPI 1962429589)

Field	Value
Entity Type	Organization
Organization	Mcleod Physician Associates Ii
Address	800 E Cheves St Ste 480-a
City	Florence
State	SC
ZIP	29506
Taxonomy	Pediatric Orthopaedic Surgery Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 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…	6,710	$50	$348.8K
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…	2,820	$80	$214.5K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	1,960	$100	$188.1K
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…	1,200	$110	$130.8K
A4590	Special casting material (e.g., fiberglass)	4,490	$30	$116.8K
99212	The 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,…	3,340	$30	$113.7K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	410	$210	$86.3K
73100	In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.	3,170	$20	$72.9K
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…	740	$70	$50.3K
77077	The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.	1,380	$30	$41.4K

Showing 1–10 of 35

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

Mcleod Physician Associates Ii — 4 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

35 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…	304	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…	1,002	2,480	350	$80	$246K
99212	The 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,…	47	610	190	$50	$98.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	7	70	120	$100	$83K
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…	30	520	70	$70	$67.1K
77073	The provider images the lower extremity from hips to ankle to measure the difference in the length of the legs.	3	10	210	$50	$66.2K
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…	44	490	90	$100	$63.6K
A4590	Special casting material (e.g., fiberglass)	2	10	450	$30	$47.7K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	8	20	170	$50	$47.1K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	84	110	240	$70	$46.2K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mcleod Physician Associates Ii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
Mcleod Medical Center-dillon	SC	General Acute Care Hospital	$0	$13.6M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$6.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	Community Based Hospice Care Agency	$0	$5.7M
Mcleod Physician Associates Ii	SC	Pediatric Cardiology Physician	$0	$4.2M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$4.2M
Dillon Family Medicine, P.A.	SC	Family Medicine Physician	$0	$4M

Nearby Providers

Other providers in the same ZIP code as Mcleod Physician Associates Ii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
Florence County Disabilities And Special Needs Board	SC	Early Intervention Provider Agency	$0	$28.3M
Allergy Asthma Sinus Ctr	SC	Allergy & Immunology Physician	$0	$8.2M
County Of Florence	SC	Land Ambulance	$2M	$4.5M
Florence School District One	SC	Local Education Agency (LEA)	$0	$6.3M
Tucker-wells Medical, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$5.8M
Hopehealth Inc	SC	Federally Qualified Health Center (FQHC)	$0	$3.3M
W. Dean Lorenz Md PC	SC	Physical Medicine & Rehabilitation Physician	$0	$3.2M
Mcleod Physician Associates Ii	SC	Gynecology Physician	$0	$2.6M
Mcleod Physician Associates Ii	SC	Cardiovascular Disease Physician	$0	$2.2M

Mcleod Physician Associates Ii — Billing Profile & Reimbursement Data

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Mcleod Physician Associates Ii — 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