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.

Pickens County Commission On Alcohol & Drug Abuse (NPI 1134127475)

Field	Value
Entity Type	Organization
Organization	Pickens County Commission On Alcohol & Drug Abuse
Address	208 E 1st Ave
City	Easley
State	SC
ZIP	29640
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,430	$100	$616.8K
H0001	Alcohol and/or drug assessment	3,260	$140	$450.3K
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…	4,150	$80	$315K
H0032	Mental health service plan development by non-physician	4,820	$50	$216.8K
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…	3,840	$50	$199.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,070	$90	$188.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,630	$50	$174.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,050	$60	$120.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,550	$40	$101.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	270	$100	$26.1K

Showing 1–10 of 16

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

Pickens County Commission On Alcohol & Drug Abuse — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0031	Mental health assessment, by non-physician	72	80	180	$150	$1.2M
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…	31	210	320	$130	$707.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7	10	2,970	$90	$434.8K
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…	83	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…	28	160	270	$70	$268.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	119	240	260	$160	$257.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	561	2,770	210	$60	$254.5K
H0001	Alcohol and/or drug assessment	6	30	820	$140	$241.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	30	2,240	$50	$208.5K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	136	150	220	$160	$192.8K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Pickens County Commission On Alcohol & Drug Abuse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pickens County Board Of Disabilities And Special Needs	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.3M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$9.3M
Woodruff Road Urgent Care Center, P.C.	SC	Urgent Care Clinic/Center	$0	$7.3M
School District Of Pickens County	SC	Local Education Agency (LEA)	$0	$6.4M
National Seating & Mobility Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$4.7M
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$4.7M
Recovery Concepts Of Carolina Upst LLC	SC	Methadone Clinic	$0	$2.3M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$1.8M
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Freedom 1st Medical Transport	SC	Land Ambulance	$534.1K	$0

Pickens County Commission On Alcohol & Drug Abuse — Billing Profile & Reimbursement Data

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Pickens County Commission On Alcohol & Drug Abuse — 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