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.

Pro-med 1 Inc (NPI 1073509444)

Field	Value
Entity Type	Organization
Organization	Pro-med 1 Inc
Address	3489 Ladson Rd
City	Ladson
State	SC
ZIP	29456
Taxonomy	Customized Equipment (DME)
NPI Enumerated	September 21, 2005

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	14,670	$30	$498.6K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	2,580	$120	$307.1K
T5999	Supply, not otherwise specified	27,060	$10	$270.6K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	3,540	$70	$236.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4,250	$50	$225.1K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	3,680	$50	$184.1K
X1939	N/A	2,990	$60	$179.6K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1,810	$90	$159.3K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1,140	$140	$155.8K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	1,920	$80	$144.1K

Showing 1–10 of 20

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

Pro-med 1 Inc — 0 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	9	30	1,650	$100	$252.5K
A4554	Disposable underpads, all sizes	16	110	2,350	$30	$207.9K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	17	40	840	$130	$193.5K
X1939	N/A	21	70	1,410	$60	$179.9K
T2028	Specialized supply, not otherwise specified, waiver	14	30	760	$110	$150K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	15	70	1,160	$70	$143.6K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	16	80	1,260	$50	$130.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	15	70	1,020	$50	$109K
T5999	Supply, not otherwise specified	17	120	3,700	$10	$103.8K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	7	10	150	$70	$94.4K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Pro-med 1 Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-county Therapy, LLC	SC	Speech-Language Pathologist	$0	$30.1M
Pruitthealth Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$12.9M
Charleston Oral And Facial Surgery, Inc.	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$4.5M
Center For Advanced Surgery LLC	SC	Ambulatory Surgical Clinic/Center	$3.6M	$96.9K
Aging Gracefully, Senior Care Services	SC	Respite Care	$0	$3.6M
Roper St Francis Ancillary Services	SC	Home Health Agency	$0	$3.3M
Roper Saint Francis Physicians Network	SC	Family Medicine Physician	$0	$2.8M
Childrens Eye Specialists LLC	SC	Ophthalmology Physician	$0	$1.8M
Tony Owens	SC	Pain Medicine (Anesthesiology) Physician	$509.8K	$18.4K
David Vroman	SC	Ophthalmology Physician	$476.1K	$0

Pro-med 1 Inc — Billing Profile & Reimbursement Data

Sign up for Pro-med 1 Inc — Billing Profile & Reimbursement Data policy alerts

Pro-med 1 Inc — Billing Profile & Reimbursement Data

Sign up for Pro-med 1 Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References