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.

Grand Strand Regional Medical Center LLC (NPI 1083668669)

Field	Value
Entity Type	Organization
Organization	Grand Strand Regional Medical Center LLC
Address	809 82nd Parkway
City	Myrlte Beach
State	SC
ZIP	29572
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Key Findings

GRAND STRAND REGIONAL MEDICAL CENTER LLC is effectively a single‑payer Medicaid hospital in the available data set: Medicare billing is absent (no Medicare billing on file) while reported Medicaid revenue totals $27.4M, indicating the facility’s public payer exposure is concentrated in Medicaid. This imbalance means any payer‑strategy or network negotiations should focus on Medicaid utilization and rates rather than Medicare relationships.

Revenue concentration is high: the precomputed top three Medicaid codes (80053, 99283, 99282) together account for 50.2% of the provider’s total Medicaid revenue. Individually those codes are large line items — 80053 generates $4.9M, 99283 $4.6M, and 99282 $1.6M — so changes in payment or referral patterns for a small set of services would materially affect overall Medicaid receipts.

The code mix points to an emergency-heavy acute care operation with substantial on‑site lab and imaging capacity. High-volume E/M ED codes (99283, 99282, 99284, 99281) together drive a large share of visits and revenue, while laboratory panels and diagnostics such as 80053 (CMP), 87635 (SARS–CoV‑2 testing), 80048 (BMP) and multiple urine/bacterial culture codes indicate significant point-of-care and central lab throughput. This pattern is consistent with a general acute care hospital that receives many unscheduled ED encounters and processes high volumes of associated tests.

Competitive standing in the state is strong for several emergency and diagnostic codes: 99283 ranks #7 of 341 providers in-state (98th percentile; notably above typical state volume) and 99282 ranks #5 of 138 providers (97th percentile; notably above typical state volume), indicating the provider is a top regional ED volume performer. By contrast, 80053 (CMP) generates $4.9M revenue but ranks #15 of 212 in-state (93th percentile; labeled typical, unremarkable volume), suggesting the hospital’s lab volumes are high in aggregate but not unusually dominant for that specific panel.

There are clear statistical outliers among the provider’s Medicaid claims mix that could warrant operational attention: 99281, 99282, and 99283 are each described as "notably above typical" or similarly elevated for state volume (e.g., 99281 ranks #3 of 83, 98th percentile), and 86756 (RSV immunoassay) is listed as rank #1 of 8 providers in-state (100th percentile; notably above typical state volume). These labels indicate the hospital is an above‑average destination for both certain ED service levels and selected respiratory testing.

Service-line implications extend beyond the ED and labs: imaging codes (71046, 71045, 73610, 73130) and obstetric ultrasound codes (76816, 76811) appear in the top Medicaid CPT list, implying maintenance of radiology and obstetrics/ancillary prenatal services. Presence of J3490 (unclassified drugs) and therapeutic injection code 96372 also points to onsite medication administration and supportive inpatient/ED treatment activity beyond simple diagnostics.

The provider has long tenure in the NPI registry, enumerated on 2006-05-19 (~20 years ago), which supports interpretation of the billing pattern as established operational behavior rather than a transient reporting artifact. That longevity, combined with elevated ED ranks, suggests the facility is an established regional acute-care access point for Medicaid patients in MYRLTE BEACH, SC.

For payers and provider analysts, the key operational levers to monitor are ED visit intensity and associated lab/imaging utilization: because a handful of ED and lab codes concentrate roughly half of Medicaid revenue (top three = 50.2%), targeted audits of utilization trends, prior‑authorization policies for high‑cost diagnostics, or alternate care pathways for low‑acuity ED visits could materially influence spend and network performance. Given the absence of Medicare billing on file, such interventions should be scoped primarily to Medicaid populations and contracts.

Medicaid: Complete Services Breakdown

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

217 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,720	$120	$4.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	78,520	$60	$4.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	23,580	$70	$1.6M
99281	The provider sees a patient for the lowest level emergency department visit.	7,840	$200	$1.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,750	$220	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	33,450	$30	$836.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,060	$390	$792.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	13,060	$60	$757.2K
J3490	Unclassified drugs	2,520	$240	$609.6K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	7,080	$80	$530.6K

Showing 1–10 of 217

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

Grand Strand Regional Medical Center LLC — 8 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

217 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	15	210	1,470	$60	$615K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7	340	110	$40	$450.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	350	100	$50	$446.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	57	200	1,680	$50	$443.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	28	60	170	$430	$434.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5	140	2,520	$90	$415.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	20	110	1,880	$100	$414K
J7030	Infusion, normal saline solution , 1000 cc	7	70	2,620	$60	$337.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	40	150	2,500	$50	$324.9K
J7050	Infusion, normal saline solution, 250 cc	33	50	1,140	$100	$309.2K

Showing 1–10 of 217

Nearby Providers

Other providers in the same ZIP code as Grand Strand Regional Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acs Primary Care Physicians - Southeast PC	SC	Emergency Medicine Physician	$0	$81.7M
Grand Strand Pediatrics & Adolescent Medicine, P.A.	SC	Pediatric Adolescent Medicine Physician	$0	$28M
Carolina Regional Surgery Center. Ltd	SC	Ambulatory Surgical Clinic/Center	$3M	$1.7M
Coastal Carolina Primary Care, LLC	SC	Endocrinology, Diabetes & Metabolism Physician	$0	$4M
Brandon Coakley	SC	MOHS-Micrographic Surgery Physician	$3.5M	$0
Parkway Surgery Center	SC	Ambulatory Surgical Clinic/Center	$3.5M	$0
Jordan Henderson	SC	Hematology & Oncology Physician	$3.1M	$0
Dejuania Brown-rawls	SC	Hematology & Oncology Physician	$2.8M	$0
David Lazar	SC	Rheumatology Physician	$2.7M	$0
Stephen Hammond	SC	Dermatopathology Physician	$2.3M	$0

Grand Strand Regional Medical Center LLC — Billing Profile & Reimbursement Data

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Grand Strand Regional Medical Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References