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.

Easter Seal Society Of South Carolina Inc (NPI 1285637785)

Field	Value
Entity Type	Organization
Organization	Easter Seal Society Of South Carolina Inc
Address	101 Deer Run Rd
City	Elgin
State	SC
ZIP	29045
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1027	Family training and counseling for child development, per 15 minutes	36,660	$100	$3.6M
92507	The 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…	27,900	$100	$2.7M
T1016	Case management, each 15 minutes	44,520	$50	$2.2M
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…	11,580	$90	$984.2K
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.	10,190	$90	$907.2K
T1018	School-based individualized education program (iep) services, bundled	6,190	$90	$556.8K
S9152	Speech therapy, re-evaluation	370	$60	$21.3K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	80	$20	$1.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	40	$0	$0
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	10	$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

Easter Seal Society Of South Carolina Inc — 2 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	91	90	20,640	$30	$944.1K
T1027	Family training and counseling for child development, per 15 minutes	4	80	3,560	$100	$857.8K
92507	The 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…	31	340	2,970	$80	$711.1K
T1016	Case management, each 15 minutes	8	100	4,210	$50	$614.8K
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.	74	350	2,590	$70	$550.2K
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…	49	290	2,600	$60	$414.4K
T1018	School-based individualized education program (iep) services, bundled	1	30	650	$90	$111.8K
S9152	Speech therapy, re-evaluation	31	100	90	$60	$39K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	69	90	170	$20	$25.3K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	47	50	110	$20	$8.2K

Nearby Providers

Other providers in the same ZIP code as Easter Seal Society Of South Carolina Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camisha Williams	SC	Speech-Language Pathologist	$0	$2.4M
Deidra Burke	SC	Occupational Therapist	$0	$1.9M
Manish Patel	SC	Urology Physician	$459.7K	$0
James Martin	SC	Family Medicine Physician	$305.1K	$0
Yolonda Hart	SC	Occupational Therapist	$99.5K	$0
Austin Kuhn	SC	Clinical Social Worker	$48.2K	$21.6K
Eva Reynolds	SC	Family Nurse Practitioner	$38.3K	$0
Carrie Black	SC	Physical Therapist	$31.7K	$0

Easter Seal Society Of South Carolina Inc — Billing Profile & Reimbursement Data

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Easter Seal Society Of South Carolina Inc — 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