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.

Kathleen Flint (NPI 1962490771)

Field	Value
Entity Type	Individual
Organization	Kathleen Flint
Address	1711 Saint Julian Pl
City	Columbia
State	SC
ZIP	29204
Taxonomy	Rheumatology Physician
NPI Enumerated	October 6, 2005

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This provider’s Medicare activity is dominated by physician‑administered biologic therapies: the top revenue codes are J0129 (abatacept), J1602 (golimumab), and J3262 (tocilizumab), and the practice also bills infusion/procedure codes such as 96365 (686 claims, $32.2K revenue) and 96413 (346 claims, $32.2K revenue), indicating a service model built around on‑site biologic infusions and supervised medication administration. The mix of high‑volume injectable codes with infusion procedure CPTs is consistent with a rheumatology practice that operates an infusion service line rather than relying mainly on office visits or procedures alone.

Revenue is highly concentrated in a few biologic agents: the three top Medicare codes together account for 77.5% of this provider’s total Medicare revenue, with J0129 bringing in $880.2K (38.7%), J1602 $586.9K (25.8%), and J3262 $294.5K (13.0%). This concentration makes those specific drug lines the primary commercial drivers of the $2.3M in reported Medicare revenue.

Payer mix is effectively single‑payer Medicare: total Medicare revenue is $2.3M and there is none (no Medicaid billing on file). The absence of any Medicaid billing on file means the provider’s revenue exposure is concentrated in Medicare reimbursement and commercial payers rather than state Medicaid programs.

On competitive standing, the provider ranks at notably high national percentiles for several biologic codes: J0129 ranks #62 of 1221 providers nationally (95th percentile; notably above typical national volume) and J1602 ranks #30 of 1041 providers nationally (97th percentile; notably above typical national volume), while Q5104 ranks #7 of 178 providers nationally (97th percentile; notably above typical national volume). These rankings indicate the provider is a major national‑volume administrator for certain biologic products, suggesting either a high local patient demand for infused biologics or a focused referral footprint for infusion therapy.

Clinical visit and infusion procedure volume is likewise elevated relative to peers: 99214 shows 1K claims, $90 avg paid/claim and $90K revenue (4.0% of Medicare revenue) while 96365 is 686 claims and $32.2K revenue, and 99214 ranks #10809 of 479517 providers nationally (98th percentile; notably above typical national volume) with 96365 ranking #201 of 8873 providers nationally (98th percentile; notably above typical national volume). This pattern points to frequent moderate‑complexity E/M encounters and routine supervised infusions consistent with ongoing management of complex rheumatologic conditions.

Routine laboratory testing appears embedded in the care pathway but is a minor revenue contributor: codes such as 80053 (785 claims, $7.9K), 85025 (949 claims, $7.6K), and 86140 (641 claims, $3.2K) are present at high claim counts but represent small shares of total revenue and are described as typical, unremarkable volumes for these tests. The practice likely performs in‑house monitoring labs to support biologic therapy management, but these services do not materially drive revenue.

Tenure data shows an established practice presence: NPI enumerated on 2005-10-06 (~21 years ago), and the cumulative Medicare revenue of $2.3M is consistent with a long‑standing rheumatology clinician who has scaled an infusion/biologic administration service over time. This longevity combined with the high percentile rankings for certain biologics supports a view of an experienced, specialty‑focused operator.

The high dependence on a narrow set of high‑cost biologic codes (top three codes = 77.5% of Medicare revenue) creates operational and reimbursement sensitivity: shifts in drug pricing, formulary substitutions, biosimilar uptake, or payer policies for J0129, J1602, and J3262 could substantially impact revenue. Coupled with no Medicaid billing on file, the provider has limited diversification into state Medicaid revenue streams, concentrating financial risk on Medicare and commercial payer behavior.

Medicare: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	27,510	$30	$880.2K
J1602	Injection, golimumab, 1 mg, for intravenous use	58,690	$10	$586.9K
J3262	Injection, tocilizumab, 1 mg	58,900	$10	$294.5K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	7,860	$30	$227.9K
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…	1,020	$90	$90K
J0897	Injection, denosumab, 1 mg	4,380	$20	$78.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	690	$50	$32.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	350	$90	$32.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	790	$10	$7.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	950	$10	$7.6K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Kathleen Flint — 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. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	5	40	9,640	$30	$424.2K
J1602	1	40	23,560	$10	$264.5K
J3262	2	20	40,900	$1	$202.7K
Q5104	1	10	2,630	$30	$91.6K
J0897	72	250	2,400	$20	$91.2K
99214	369	7,860	160	$80	$23.2K
96413	47	150	140	$90	$22.1K
99213	4,257	7,690	100	$60	$10.8K
96401	63	70	120	$50	$9.4K
96365	4	170	100	$40	$7.4K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kathleen Flint, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Chafin	GA	Rheumatology Physician	$3.3M	$0
Taylor Mader	SC	Rheumatology Physician	$3.1M	$0
Dean Stephens	GA	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
Paul Sutej	GA	Rheumatology Physician	$2.4M	$0
Durga Adhikari	SC	Rheumatology Physician	$2.4M	$0
Marta Bognar	GA	Rheumatology Physician	$2.3M	$0
Brent Flickinger	GA	Rheumatology Physician	$2.3M	$0
Colin Edgerton	SC	Rheumatology Physician	$1.9M	$0
John Brittis	SC	Rheumatology Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eau Claire Cooperative Health Center, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$84.5M
South Carolina Mentor, Inc.	SC	Mental Illness Community Based Residential Treatment Facility	$0	$54.8M
County Council For Richland County	SC	Ambulance	$4M	$12.4M
Providence Hospital, LLC	SC	General Acute Care Hospital	$0	$12.7M
Family Preservation Community Services	SC	Community/Behavioral Health Agency	$0	$11.1M
Pediatric Associates, P.A.	SC	Preferred Provider Organization	$0	$7.6M
Two Notch Road Dental Health Center	SC	General Practice Dentistry	$0	$5.7M
She's Counseling Trichology & Consulting LLC	SC	Professional Counselor	$0	$5.4M
Guardian Angel Home Care Services,llc	SC	Home Health Agency	$0	$5.3M
All Medical Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$5M

Kathleen Flint — Billing Profile & Reimbursement Data

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Kathleen Flint — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References