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.

Hospice Care Of South Carolina, Lowcountry, LLC (NPI 1235794264)

Field	Value
Entity Type	Organization
Organization	Hospice Care Of South Carolina, Lowcountry, LLC
Address	136 Stonemark Ln Ste 100b
City	Columbia
State	SC
ZIP	29210
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	May 6, 2019

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file, and total Medicaid revenue is $19.9M. The absence of Medicare claims indicates the entity’s commercial footprint is concentrated entirely in Medicaid-funded hospice services rather than split across traditional Medicare hospice billing.

Medicaid revenue is highly concentrated in a single service line: the precomputed top-3 codes account for 100.0% of the provider’s Medicaid revenue, and S9126 alone represents the entirety of the reported $19.9M. This implies the organization’s financial performance is driven almost exclusively by per-diem in-home hospice reimbursement rather than a diversified set of procedure codes.

The dominant code is S9126 (Hospice care, in the home, per diem), with 7.8K claims and a $2554 avg paid/claim generating $19.9M in revenue. That claim and payment profile confirms the operation is centered on routine in-home hospice per-diem services rather than episodic procedures or facility-based treatments.

Competitive standing within the state is strong on the primary Medicaid line: the provider ranks #2 of 20 providers in-state and sits in the 95th percentile for S9126, yet the record labels this as "typical, unremarkable volume for this code." In practice this means the organization is a major statewide participant for in-home hospice per-diem billing, but its pattern aligns with common hospice billing profiles rather than being an extreme statistical outlier.

The per-diem revenue model (S9126) suggests operational sensitivity to length-of-stay and daily rate dynamics: because $19.9M of Medicaid revenue comes through this per-diem code, changes in average stay duration or state per-diem policy would materially affect topline Medicaid revenue. There is limited diversification to buffer against shifts in per-diem reimbursement or utilization.

The provider’s NPI was enumerated on 2019-05-06 (~7 years ago), indicating it reached $19.9M of Medicaid revenue and high in-state rank within a relatively recent operational window. This tenure suggests rapid scaling or strong market uptake of its in-home hospice services since enumeration.

Given that S9126 accounts for 100.0% of Medicaid revenue and there is no Medicare activity, the organization has concentrated operational and payer risk: its entire reported revenue base is tied to a single Medicaid hospice per-diem code. Analysts should treat comparisons or trend analysis cautiously, because fluctuations in that one code will drive nearly all financial variation for this provider.

From a service-line perspective, the code mix (solely S9126) characterizes the provider as a community-based hospice care agency delivering in-home per-diem support; the absence of other billed codes implies limited ancillary or non-hospice service lines in the reported Medicaid claims set. This profile is consistent with a focused hospice operator rather than a multi-service post-acute provider.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9126	Hospice care, in the home, per diem	7,790	$2,550	$19.9M

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

Hospice Care Of South Carolina, Lowcountry, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9126	Hospice care, in the home, per diem	2	20	690	$1,580	$3.7M

Nearby Providers

Other providers in the same ZIP code as Hospice Care Of South Carolina, Lowcountry, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Youth Advocate Program	SC	Community/Behavioral Health Agency	$0	$64M
Lifehme, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$45.6M
Pal-med, LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$26.2M
Bright Start, LLC	SC	Speech-Language Pathologist	$0	$20.8M
Kids First Dental, LLC	SC	Dentist	$0	$20.6M
Crescent Hospice, Inc.	SC	Community Based Hospice Care Agency	$0	$17.3M
Coram Healthcare/carolina Home Therapeutics	SC	Home Infusion Therapy Pharmacy	$0	$13.9M
Caring Healthcare, Inc.	SC	Nursing Care Agency	$0	$13.3M
Richland/lexington Disabilities And Special Needs Board	SC	Case Management Agency	$0	$11.3M
Compassionate Care Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$9.6M

Hospice Care Of South Carolina, Lowcountry, LLC — Billing Profile & Reimbursement Data

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Hospice Care Of South Carolina, Lowcountry, LLC — 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

Nearby Providers

Frequently Asked Questions

References