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.

Medical University Hospital Authority (NPI 1184197683)

Field	Value
Entity Type	Organization
Organization	Medical University Hospital Authority
Address	805 Pamplico Hwy
City	Florence
State	SC
ZIP	29505
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 7, 2019

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Key Findings

MEDICAL UNIVERSITY HOSPITAL AUTHORITY is effectively a single‑payer Medicaid facility in the dataset: there is no Medicare billing on file and its recorded lifetime Medicaid revenue totals $28.3M. The provider’s NPI was enumerated 2019-01-07 (~7 years ago), indicating roughly seven years of activity under this identifier.

Revenue is concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes (80053, Q9967, 99282) account for 33.2% of the provider’s total Medicaid revenue. Those three codes individually generate $3.3M (15.6%), $1.9M (9.0%), and $1.8M (8.6%) respectively, so a third of Medicaid dollars are driven by laboratory panels, contrast supply, and ED evaluation-and-management services.

The code mix points to a high-throughput acute care hospital with strong emergency, diagnostic imaging, and laboratory operations. Sustained volume on emergency E/M codes 99282 (15K claims, $1.8M, ranks #7 of 138, 96th percentile, notably above typical) and 99283 (27.2K claims, $598K, 88th percentile) together with high-claim imaging contrast Q9967 (13.1K claims, $1.9M, 94th percentile) suggests a steady ED referral stream feeding imaging and inpatient/same‑day diagnostics.

Laboratory services are a clear revenue and volume driver: 80053 (CMP) produced $3.3M (15.6%) from 30.4K claims and 80048 and 80047 also rank high regionally. Notably 80047 ranks #1 of 26 providers in-state (100th percentile; extreme outlier, far above typical state volume), and specimen collection 36415 shows exceptionally high throughput (43.1K claims, $690K, ranks #15 of 713, 98th percentile), signaling significant on-site lab capacity and testing volume.

Imaging and contrast utilization is elevated across multiple codes: Q9967 (contrast) and A9585 (gadobutrol) together account for multi‑million dollar revenue lines ($1.9M and $1.4M respectively), and nuclear cardiology 78452 ranks #3 of 60 in-state (97th percentile; notably above typical). This pattern is consistent with a hospital that runs substantial cross-sectional and advanced imaging services that rely on injectable contrast agents.

The provider also shows meaningful procedural/surgical activity and infusion services beyond diagnostics: debridement 11042 produced $1.4M (6.8%), and coded infusions/IV administration (96372, 96365, 96375, 96361) together represent sizeable claim volumes and revenue (e.g., 96372: 11.5K claims, $1.4M, 92nd percentile). These line items indicate wound care/surgical procedures and throughput for inpatient or ED-administered therapeutics.

Statewide competitive standing is strong on several high-volume items: examples include 99282 at the 96th percentile (rank #7 of 138), 80047 at the 100th percentile (rank #1 of 26; extreme outlier), 36415 at the 98th percentile, and 82947 at the 98th percentile (rank #3 of 132). Across labs, ED visits, and certain imaging services the provider ranks in the upper percentiles, implying it is a major regional hub for those services rather than a modest participant.

Payer concentration presents financial exposure and strategic clarity: with no Medicare revenue on file and $28.3M in Medicaid receipts, the provider’s recorded activity in this dataset is concentrated in Medicaid payors. That concentration amplifies the importance of Medicaid reimbursement trends for the hospital’s billing profile and makes diversification of payer mix a visible risk/opportunity from a revenue-management perspective.

Medicaid: Complete Services Breakdown

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

337 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.	30,420	$110	$3.3M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,130	$140	$1.9M
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.	15,010	$120	$1.8M
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.	1,940	$740	$1.4M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	11,490	$120	$1.4M
A9585	Injection, gadobutrol, 0.1 ml	1,420	$960	$1.4M
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…	18,820	$70	$1.2M
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	1,790	$440	$788K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	8,340	$80	$692.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	43,130	$20	$690K

Showing 1–10 of 337

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

Medical University Hospital Authority — 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

337 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	9	20	350	$1,170	$776.4K
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.	23	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.	122	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.	43	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.	51	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.	55	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…	15	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.	7	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…	39	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7	110	1,880	$100	$414K

Showing 1–10 of 337

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$241.1M
University Medical Associates Of The Medical University Of South Carol	SC	Family Medicine Physician	$0	$56.6M
Medical University Hospital Authority	SC	Psychologist	$0	$32.6M
Providence Hospital, LLC	SC	General Acute Care Hospital	$0	$12.7M
Medical University Hospital Authority	SC	Pediatrics Physician	$0	$12.4M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$12.1M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$8.7M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$8.5M
Kershaw Hospital LLC	SC	General Acute Care Hospital	$0	$8M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$7M

Nearby Providers

Other providers in the same ZIP code as Medical University Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Carolina Pediatric Associates	SC	Pediatrics Physician	$0	$15.3M
Amedisys Hospice, L.L.C.	SC	Community Based Hospice Care Agency	$0	$14.1M
New Generations Adult Day Center, Inc.	SC	Adult Care Home Facility	$0	$6.9M
Pee Dee Pediatric Dentistry	SC	Pediatric Dentistry	$0	$6.4M
Qhg Of South Carolina Inc	SC	General Acute Care Hospital	$0	$5.4M
Carolina Family Care, Inc	SC	Family Medicine Physician	$0	$4.1M
Florence Treatment Specialists LLC	SC	Methadone Clinic	$5.5K	$2.1M
Cw Counseling And Consulting, LLC	SC	Clinical Social Worker	$0	$1.8M
Pee Dee Pathology Associates Inc.	SC	Clinical Medical Laboratory	$521.7K	$220.7K
Heartline Transport Services, LLC	SC	Land Ambulance	$521.9K	$0

Medical University Hospital Authority — 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