NEVVI Medicare utilization intelligence

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TIDELANDS ANESTHESIA GROUP LLC

PAC 5395258065 Physician group
CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) · GEORGETOWN, SC · hospital-affiliated
Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in GEORGETOWN, SC · bills Medicare in 1 state (SC)
Scale 48 providers on the CMS registry roster · 4 codes billed (five-year data window)
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (843) 527-7100 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 8Advanced-practice 29Other clinicians 0= 37 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 37 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.
Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1255569133 Armstrong, Alexandra · member of 5 groups M.D. Anesthesiology GreenvilleSC premium
1841563442 Ballard, Mark · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Pawleys IslandSC premium
1922746239 Barrow, Juanjeca · member of 3 groups Certified Registered Nurse Anesthetist (CRNA) JacksonTN premium
1528799517 Bond, Chloe · member of 2 groups DNAP, CRNA Certified Registered Nurse Anesthetist (CRNA) Murrells InletSC premium
1386611184 Burrow, Melissa · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1619957305 Cain, Felicia · member of 3 groups MD Anesthesiology HickoryNC premium
1801278940 Caviedes, Nelson · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GreenvilleSC premium
1295707040 Ciancione, Jerome · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Myrtle BeachSC premium
1801525654 Collins, Grayson · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GreenvilleSC premium
1487652558 Comeau, William · member of 2 groups M.D. Anesthesiology HamletNC premium
1366622243 Compton, Joshua · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GreenvilleSC premium
1285208231 Cowles, Thomas · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) NashvilleTN premium
1104365857 Drenga, Kristen · member of 2 groups Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1629228721 Dudzinski, Amy · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Murrells InletSC premium
1912479924 Edmond, Kara · member of 2 groups Certified Registered Nurse Anesthetist (CRNA) OrangeburgSC premium
1811283971 Fertig, Ashley · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) MorgantownWV premium
1447489794 Fletcher, Joanna · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) CharlestonWV premium
1467416354 Gibson, H.P. · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) FlorenceSC premium
1710176185 Harrold, Bernadette · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Myrtle BeachSC premium
1841791225 Hobert, Leanne · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) AtlantaGA premium
1952504292 Jacobs, Leslie · member of 4 groups CRNA Certified Registered Nurse Anesthetist (CRNA) WashingtonMO premium
1326062696 Jones, Michelle · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Myrtle BeachSC premium
1710946850 Khattak, Kamran · member of 4 groups M.D. Anesthesiology CharlestonWV premium
1003596016 Leontyev, Ruvim · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1144276569 Locke, Pam · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1205891587 Mcinerny, Frances · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) CharlestonSC premium
1376642447 Mckenzie, Sidney · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) FlorenceSC premium
1215257001 Mcvicker, Dwayne · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) ColumbiaSC premium
1699793075 Moore, Philip · member of 2 groups MD Anesthesiology FlorenceSC premium
1235115759 Patterson, Loy · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1124016589 Pesce, Michael · member of 5 groups MD Anesthesiology Apple ValleyCA premium
1659533230 Phillips, Gregory · member of 3 groups CRNA Certified Registered Nurse Anesthetist (CRNA) AhoskieNC premium
1457928772 Rich, Zakary · member of 5 groups Certified Registered Nurse Anesthetist (CRNA) Myrtle BeachSC premium
1992798219 Samuel, Christopher · member of 3 groups MD Anesthesiology EverettPA premium
1932109394 Shields, Cynthia · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) GeorgetownSC premium
1467913608 Shirey, Derek · member of 2 groups DO Anesthesiology CharlestonSC premium
1568228393 Tisdale, Ella · member of 2 groups CRNA Certified Registered Nurse Anesthetist (CRNA) Murrells InletSC premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.