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.

Charleston Ot LLC (NPI 1144679655)

Field	Value
Entity Type	Organization
Organization	Charleston Ot LLC
Address	1563 Sam Rittenberg Blvd
City	Charleston
State	SC
ZIP	29407
Taxonomy	Occupational Therapist
NPI Enumerated	June 6, 2016

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	41,650	$80	$3.2M
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	70	$40	$3K

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

Charleston Ot LLC — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	16	350	2,590	$70	$550.2K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	14	30	70	$20	$8.1K

Nearby Providers

Other providers in the same ZIP code as Charleston Ot LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dentistry For Children Of South Carolina, PC	SC	Pediatric Dentistry	$0	$68.4M
Medcare Express - North Charleston LLC	SC	Urgent Care Clinic/Center	$0	$34.8M
Justiceworks Behavioral Care	SC	Community/Behavioral Health Agency	$0	$18.6M
Carolina Health Force	SC	Nursing Care Agency	$0	$8.8M
Plantation Pediatrics, LLC	SC	Pediatrics Physician	$0	$8.2M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$5.8M
Charleston Pediatric Rehabilitation LLC	SC	Speech-Language Pathologist	$0	$3.8M
Charleston Ent Associates, LLC	SC	Ambulatory Surgical Clinic/Center	$482K	$2.8M
Active Sc One, Inc.	SC	Adult Day Care Clinic/Center	$0	$3.2M
Personal Care, Inc.	SC	Land Ambulance	$2.7M	$234.3K

Charleston Ot LLC — Billing Profile & Reimbursement Data

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Charleston Ot LLC — 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