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.

Palmetto Early Interventions, LLC (NPI 1285880591)

Field	Value
Entity Type	Organization
Organization	Palmetto Early Interventions, LLC
Address	223 Silverbrook Ln
City	Lexington
State	SC
ZIP	29073
Taxonomy	Speech-Language Pathologist
NPI Enumerated	August 18, 2008

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	39,290	$100	$3.8M
S9152	Speech therapy, re-evaluation	470	$50	$25.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	90	$70	$6.6K

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

Palmetto Early Interventions, LLC — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	17	340	2,970	$80	$711.1K
S9152	Speech therapy, re-evaluation	29	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.	26	70	30	$100	$20.7K

Nearby Providers

Other providers in the same ZIP code as Palmetto Early Interventions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Mobility Innovations	SC	Customized Equipment (DME)	$0	$14.4M
Medical Comfort Systems, Inc.	SC	Oxygen Equipment & Supplies (DME)	$0	$3.1M
Saint Matthews Ambulance Service Of The Midlands, LLC	SC	Ambulance	$544.5K	$6.4K
Tarrytown Expocare Sc, Inc.	SC	Long Term Care Pharmacy	$39.3K	$0
Walter Myer	SC	Family Nurse Practitioner	$34.5K	$0

Palmetto Early Interventions, LLC — Billing Profile & Reimbursement Data

Sign up for Palmetto Early Interventions, LLC — Billing Profile & Reimbursement Data policy alerts

Palmetto Early Interventions, LLC — Billing Profile & Reimbursement Data

Sign up for Palmetto Early Interventions, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References