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.

Aiken Regional Medical Centers LLC (NPI 1295743631)

Aiken Regional Medical Centers LLC is a pediatrics physician provider located in Aiken, South Carolina. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Aiken Regional Medical Centers LLC
Address	60 Physician Dr
City	Aiken
State	SC
ZIP	29801
Taxonomy	Pediatrics Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	16,020	$60	$1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,970	$80	$637.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,570	$100	$528.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,460	$90	$401.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	5,580	$50	$290.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,480	$90	$132.8K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,200	$70	$89K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	920	$60	$54.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	310	$90	$26.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	3,710	$10	$25.9K

Showing 1–10 of 27

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

Aiken Regional Medical Centers LLC — 0 of 20 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	280	600	$90	$299K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	153	2,770	210	$60	$254.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	282	2,480	350	$80	$246K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	47	380	160	$100	$226.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	81	390	100	$100	$148.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	340	110	$110	$107.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	495	610	190	$50	$98.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	84	650	140	$30	$98.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	61	270	120	$50	$93.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	465	520	70	$70	$67.1K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aiken Regional Medical Centers LLC	SC	General Acute Care Hospital	$0	$31.5M
Kashif Naseem	GA	Internal Medicine Physician	$340.1K	$0
Gerald Gordon	SC	Internal Medicine Physician	$295.2K	$0
William Besson	SC	Internal Medicine Physician	$274.8K	$0
Thomas Mccullough	SC	Internal Medicine Physician	$253.1K	$6.3K
Idris Sharaf	SC	Cardiovascular Disease Physician	$245.4K	$0
Asif Hashmi	SC	Internal Medicine Physician	$216K	$0
Jonathan Anderson	SC	Urology Physician	$197.9K	$0
Harold Jones	GA	Diagnostic Radiology Physician	$111K	$0
Timothy Shannon	SC	Orthopaedic Surgery Physician	$107.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-development Center Of Aiken County, Inc.	SC	Cognitive & Behavioral Psychologist	$0	$39.6M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Sound Physicians Emergency Medicine Of South Carolina LLC	SC	Emergency Medicine Physician	$0	$14.2M
Regency Hospice Of Georgia, LLC	SC	Community Based Hospice Care Agency	$0	$12M
Rural Health Services, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$10.3M
Children's Place, Inc	SC	Community/Behavioral Health Agency	$0	$6.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Aiken County	SC	Ambulance	$1.1M	$2.4M
Aiken Dental Associates	SC	General Practice Dentistry	$0	$3.3M
Aiken County Board Of Disabilities	SC	Public Health or Welfare Agency	$0	$2.9M

Aiken Regional Medical Centers LLC — Billing Profile & Reimbursement Data

Sign up for Aiken Regional Medical Centers LLC — Billing Profile & Reimbursement Data policy alerts

Aiken Regional Medical Centers LLC — Billing Profile & Reimbursement Data

Sign up for Aiken Regional Medical Centers LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References