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.

Vituity-south Carolina LLC (NPI 1194328724)

Field	Value
Entity Type	Organization
Organization	Vituity-south Carolina LLC
Address	1 Saint Francis Dr
City	Greenville
State	SC
ZIP	29601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	November 17, 2020

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,570	$70	$2M
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.	14,360	$100	$1.5M
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.	17,840	$40	$695.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,270	$1	$13.1K
99053	The provider renders overnight services at a 24 hour facility.	110	$0	$0

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

Vituity-south Carolina LLC — 0 of 4 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	63	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.	34	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.	35	200	1,680	$50	$443.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	37	160	160	$1	$21.8K
99053	The provider renders overnight services at a 24 hour facility.	3	10	70	$1	$1.7K

Nearby Providers

Other providers in the same ZIP code as Vituity-south Carolina LLC, 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	$61.9M
Prisma Health-upstate	SC	Developmental Disabilities Clinic/Center	$0	$19.7M
St Francis Hospital Inc	SC	General Acute Care Hospital	$0	$17.8M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.8M
County Of Greenville	SC	Land Ambulance	$4.2M	$9.2M
Greenville Proaxis Therapy, LLC	SC	Physical Therapist	$0	$7.9M
Carolina Family Services, Inc.	SC	Community/Behavioral Health Agency	$0	$5.5M
Ahead Start LLC	SC	Early Intervention Provider Agency	$0	$4.5M
Greenville Health System	SC	Medically Fragile Infants and Children Day Care	$0	$4.2M
Corporate Care, LLC	SC	Home Health Agency	$0	$4.1M

Vituity-south Carolina LLC — Billing Profile & Reimbursement Data

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Vituity-south Carolina 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