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.

Resource Medical Group, LLC (NPI 1275531659)

Field	Value
Entity Type	Organization
Organization	Resource Medical Group, LLC
Address	110 Aztec Ct
City	Duncan
State	SC
ZIP	29334
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	3,070	$500	$1.5M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	15,910	$40	$556.9K
E0601	Continuous positive airway pressure (CPAP) device	10,720	$20	$257.2K
A7030	Full face mask used with positive airway pressure device, each	5,080	$40	$218.5K
A7031	Face mask interface, replacement for full face mask, each	4,640	$30	$116K
E0562	Humidifier, heated, used with positive airway pressure device	8,140	$10	$114K
A4604	Tubing with integrated heating element for use with positive airway pressure device	7,550	$10	$105.7K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	1,360	$60	$84.3K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	10,390	$10	$83.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2,950	$30	$73.7K

Showing 1–10 of 28

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

Resource Medical Group, LLC — 10 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	4	20	530	$490	$707.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6	90	4,560	$50	$268.2K
E0601	Continuous positive airway pressure (CPAP) device	3	80	1,450	$30	$72.6K
E0570	Nebulizer, with compressor	2	80	1,180	$30	$70.2K
A7030	Full face mask used with positive airway pressure device, each	2	60	470	$50	$50.9K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7	80	3,860	$10	$45.1K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	9	50	370	$40	$36.7K
A4604	Tubing with integrated heating element for use with positive airway pressure device	2	40	1,330	$20	$32.6K
A7031	Face mask interface, replacement for full face mask, each	3	60	570	$30	$31.5K
E0562	Humidifier, heated, used with positive airway pressure device	2	60	380	$30	$26.9K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Resource Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homechoice Partners, LLC	SC	Home Infusion Therapy Pharmacy	$0	$8M
Playworks, Inc	SC	Developmental Therapist	$0	$3.2M
River Falls Peditric Dentistry, PA	SC	Dental Clinic/Center	$0	$3M
Kaleidoscope Counseling	SC	Community/Behavioral Health Agency	$0	$2.8M
Palmetto Carolina Treatment Center, LLC	SC	Methadone Clinic	$161.1K	$2.3M
Student Solutions, LLC	SC	Early Intervention Provider Agency	$0	$2.3M
Spartanburg County School District No. 5	SC	School Psychologist	$0	$2M
Melanie Harley	SC	Occupational Therapist	$43.6K	$133.6K
Mukesh Gandhi	SC	Internal Medicine Physician	$83.7K	$180

Resource Medical Group, LLC — Billing Profile & Reimbursement Data

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Resource Medical Group, 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