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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMcleod Health Clarendon
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    Mcleod Health Clarendon — Billing Profile & Reimbursement Data

    NPI 1205284411 · Manning, SC · Rural Acute Care Hospital

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    Mcleod Health Clarendon is a rural acute care hospital provider located in Manning, South Carolina. This profile covers 0 Medicare and 183 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMcleod Health Clarendon
    Address10 E Hospital St
    CityManning
    StateSC
    ZIP29102
    TaxonomyRural Acute Care Hospital
    NPI EnumeratedMay 27, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    183 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.26,400$80$2M
    97110Therapeutic 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…15,080$90$1.4M
    99283The 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.21,470$40$772.8K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml4,080$140$582.7K
    87430The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.2,740$200$542.9K
    0241UN/A4,790$110$517.1K
    99282The 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.4,670$70$341.2K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…13,170$20$289.7K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.4,080$70$285.3K
    99281The provider sees a patient for the lowest level emergency department visit.2,670$100$272.5K

    Showing 1–10 of 183

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    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.

    Full comparison — all codes billed, vs. South Carolina median

    183 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…1593402,970$80$711.1K
    80053The 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.462101,470$60$615K
    97530The 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.913502,590$70$550.2K
    99283The 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.52340110$40$450.5K
    99284The 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.52350100$50$446.9K
    99285The 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.492001,680$50$443.2K
    99282The 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.451402,520$90$415.3K
    97110Therapeutic 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…322902,600$60$414.4K
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml371101,880$100$414K
    J7030Infusion, normal saline solution , 1000 cc43702,620$60$337.3K

    Showing 1–10 of 183

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mcleod Health Clarendon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York Queens Medicine And Surgery, P.C.NYPediatrics Physician$0$40.8M
    Charles AgunobiGAInternal Medicine Physician$741.1K$0
    Neerav ShethPAInterventional Cardiology Physician$525.9K$0
    Dennis LangSCCardiovascular Disease Physician$511K$100
    Alexander BustamanteVACardiovascular Disease Physician$476K$0
    Robert ElderSCFamily Medicine Physician$320.4K$790
    Mitchell GrunskySCFamily Medicine Physician$299.1K$0
    Guha VenkatramanNJNeurology Physician$230.9K$0
    Mohit BhasinVACardiovascular Disease Physician$182.2K$0
    Sarah AtkinsonORNeurology Physician$181.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Mcleod Health Clarendon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clarendon County Dsn BoardSCEarly Intervention Provider Agency$0$21.1M
    Hopehealth, IncSCFederally Qualified Health Center (FQHC)$0$11.3M
    Select Toxicology Lab Stl LLCSCClinical Medical Laboratory$150.9K$8.7M
    Hopehealth, IncSCFederally Qualified Health Center (FQHC)$0$4.6M
    Branco Adult Daycare Center, LLCSCRespite Care$0$3.4M
    Select Laboratories Sc LLCSCClinical Medical Laboratory$1M$1.3M
    County Of ClarendonSCAmbulance$511.8K$597.1K
    East Palmetto Ambulance Service LLCSCLand Ambulance$878.9K$0
    Christopher MahrSCFamily Medicine Physician$228.9K$0
    Erica HodgeSCPhysical Therapist$213.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Mcleod Health Clarendon — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina