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.

Spartanburg School District Two (NPI 1285684910)

Field	Value
Entity Type	Organization
Organization	Spartanburg School District Two
Address	3231 Old Furnace Rd
City	Chesnee
State	SC
ZIP	29323
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 11, 2006

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.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	75,180	$20	$1.8M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	98,120	$10	$883.1K
T1015	Clinic visit/encounter, all-inclusive	101,070	$10	$707.5K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	8,990	$30	$269.6K
T1002	Rn services, up to 15 minutes	17,650	$10	$247.1K
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…	2,830	$50	$141.3K
S9152	Speech therapy, re-evaluation	1,330	$60	$79.6K
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…	120	$40	$5.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$110	$1.4K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	10	$60	$750

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

Spartanburg School District Two — 1 of 10 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…	11	90	20,640	$30	$944.1K
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…	172	340	2,970	$80	$711.1K
T1002	Rn services, up to 15 minutes	19	100	5,080	$60	$611.2K
T1015	Clinic visit/encounter, all-inclusive	15	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	10	80	27,100	$10	$473.8K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	5	50	1,200	$30	$77.1K
S9152	Speech therapy, re-evaluation	15	100	90	$60	$39K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	61	70	30	$100	$20.7K
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…	27	50	110	$20	$8.2K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	4	10	10	$50	$2.7K

Spartanburg School District Two — Billing Profile & Reimbursement Data

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Spartanburg School District Two — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References