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.

Conway Hospital, Inc. (NPI 1134172000)

Field	Value
Entity Type	Organization
Organization	Conway Hospital, Inc.
Address	300 Singleton Ridge Rd
City	Conway
State	SC
ZIP	29526
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Key Findings

CONWAY HOSPITAL, INC. appears to operate effectively as a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue on record is $20.2M, indicating the provider’s annual reported scale in the dataset is concentrated under Medicaid rather than split across both major public payers. This pattern makes the organization effectively single‑payer (Medicaid) in the observed claims data.

Revenue is concentrated among a small set of outpatient and ancillary services: the precomputed top three Medicaid codes (99283, 87428, 97110) together account for 29.9% of the provider’s total Medicaid revenue. Those three codes individually generated $1.6M (99283, 10.5%), $1.5M (87428, 10.0%), and $1.4M (97110, 9.4%), so a large minority of Medicaid dollars flow from ED evaluation, respiratory infectious disease testing, and therapeutic exercise.

Emergency department activity is a prominent service line. 99283 produced $1.6M (10.5% of Medicaid revenue) and ranks #16 of 341 providers in-state (96th percentile), while related ED codes 99282 ($941.8K, 6.3%) and 99284 ($395.1K, 2.7%) also appear in the top revenue list and rank in high state percentiles, together signaling consistent, above‑typical ED volume and throughput.

CONWAY is a statewide outlier for high-volume respiratory infectious disease testing: 87428 generated $1.5M (10.0% of Medicaid revenue) and ranks #1 of 142 providers in-state (100th percentile; extreme outlier). The provider also ranks #1 of 41 for 87400 ($317.4K, 2.1%), another influenza-related code labeled an extreme outlier, indicating an unusually large role in COVID/flu antigen testing relative to in-state peers.

Physical therapy and rehabilitation services represent a meaningful ancillary business line. 97110 produced $1.4M (9.4% of Medicaid revenue) and ranks #16 of 285 providers in-state (95th percentile; notably above typical), and 97140 ($254K, 1.7%) ranks #2 of 69 (99th percentile; notably above typical), together pointing to a high-volume PT footprint in the provider’s payer mix.

Advanced imaging and contrast materials contribute materially to Medicaid revenue, consistent with an acute care hospital profile: A9585 (gadobutrol) generated $1.1M (7.7%) and Q9967 (low osmolar contrast) generated $1.1M (7.6%), while MRI brain 70553 added $473K (3.2%). These items suggest a dependable radiology/imaging service line that supports inpatient and outpatient diagnostic workflows.

Clinical laboratory and routine diagnostics form a broad foundation of the provider’s Medicaid billing. Comprehensive metabolic panel 80053 produced $1.3M (8.7%), basic metabolic panel 80048 produced $346.1K (2.3%), urine pregnancy testing 81025 produced $466.7K (3.1%) and ranks #9 of 382 in-state (98th percentile; notably above typical), and instrumented drug testing 80307 produced $293.5K (2.0%), indicating both volume and diversity in lab services with some tests standing well above typical state volumes.

The provider has an established operating history in the national NPI system, with the NPI enumerated on 2006-05-19 (~20 years ago), which supports interpretation of these billing patterns as the output of a long‑standing hospital operation rather than a recently created entity.

Medicaid: Complete Services Breakdown

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

285 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	50,370	$30	$1.6M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	17,160	$90	$1.5M
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…	29,600	$50	$1.4M
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.	35,060	$40	$1.3M
A9585	Injection, gadobutrol, 0.1 ml	1,330	$860	$1.1M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8,570	$130	$1.1M
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.	10,580	$90	$941.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,170	$270	$584K
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…	1,650	$290	$473K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	17,290	$30	$466.7K

Showing 1–10 of 285

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

Conway Hospital, Inc. — 5 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

285 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.	18	210	1,470	$60	$615K
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.	174	350	2,590	$70	$550.2K
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.	16	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.	23	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.	25	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…	12	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.	17	140	2,520	$90	$415.3K
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…	16	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	16	110	1,880	$100	$414K
D2930	N/A	88	130	1,060	$150	$371.1K

Showing 1–10 of 285

Related Providers

Other providers that share a Tax Identification Number (TIN) with Conway Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Conway Hospital Emergency Professional Services	SC	Emergency Medicine Physician	$0	$6.1M
Conway Hospital Inc	SC	Pediatrics Physician	$0	$4.9M
Conway Hospital, Inc.	SC	Pediatrics Physician	$0	$2.9M
Conway Hospital, Inc.	SC	Obstetrics & Gynecology Physician	$0	$2.2M
Victoriya Strukova	SC	Rheumatology Physician	$624.4K	$0
Michael Zdunich	SC	Medical Physician Assistant	$344.8K	$0
William Prenatt	SC	Family Medicine Physician	$284K	$1.3K
Amudhan Jyothidasan	NC	Interventional Cardiology Physician	$235.4K	$0
Robert Kodsi	SC	Gastroenterology Physician	$216.3K	$6.1K
Yumeng Li	SC	MOHS-Micrographic Surgery Physician	$172.5K	$0

Nearby Providers

Other providers in the same ZIP code as Conway Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
Horry County Disabilities & Special Needs Board	SC	Developmentally Disabled Services Day Training Agency	$0	$25.7M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Carolina Radiology Associates LLC	SC	Diagnostic Radiology Physician	$0	$9.2M
Horry County Government	SC	Land Ambulance	$4M	$4.4M
Coastal Pediatrics	SC	Primary Care Clinic/Center	$0	$5.1M
Carolina Care Medical Supply LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Nicholas Marchase	SC	Ophthalmology Physician	$4.1M	$306.4K
Horry County Comm On Alcohol & Drug Abuse	SC	Community/Behavioral Health Agency	$0	$4.2M
Palmetto Pediatrics Of Conway	SC	Specialist	$0	$4M

Conway Hospital, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References