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.

York School District One (NPI 1003845777)

Field	Value
Entity Type	Organization
Organization	York School District One
Address	18 Spruce St
City	York
State	SC
ZIP	29745
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	49,000	$20	$1.2M
T1015	Clinic visit/encounter, all-inclusive	44,000	$10	$308K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	26,000	$10	$260K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,250	$60	$137.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	950	$130	$121.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,650	$50	$79.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	360	$180	$63.5K
H0032	Mental health service plan development by non-physician	400	$110	$44.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	240	$180	$42.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	740	$50	$33.2K

Showing 1–10 of 13

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

York School District One — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0031	Mental health assessment, by non-physician	54	80	180	$150	$1.2M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	23	90	20,640	$30	$944.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	69	210	320	$130	$707.4K
T1002	Rn services, up to 15 minutes	85	100	5,080	$60	$611.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	207	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	33	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	43	80	27,100	$10	$473.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	207	290	2,600	$60	$414.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	430	650	800	$120	$413.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	36	160	270	$70	$268.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as York School District One, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York County Board Of Disabilities And Special Needs	SC	Developmentally Disabled Services Day Training Agency	$0	$40.2M
Piedmont Physician Network LLC	SC	Internal Medicine Physician	$0	$7.4M
Tri-county Pediatrics LLC	SC	Rural Health Clinic/Center	$0	$1.8M
York County Adult Day Care Services, Inc.	SC	Adult Day Care Clinic/Center	$0	$1.7M
Romin Shah	SC	Internal Medicine Physician	$78.9K	$0

York School District One — Billing Profile & Reimbursement Data

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York School District One — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References