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.

Pediatric Mobility Innovations (NPI 1326431404)

Field	Value
Entity Type	Organization
Organization	Pediatric Mobility Innovations
Address	4458 Augusta Road Suite 1b
City	Lexington
State	SC
ZIP	29073
Taxonomy	Customized Equipment (DME)
NPI Enumerated	March 12, 2015

Payer Source	Total Paid
Medicaid	$14.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1399	Durable medical equipment, miscellaneous	10,330	$1,220	$12.6M
K0108	Wheelchair component or accessory, not otherwise specified	3,790	$230	$878.4K
E0641	Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels	40	$5,570	$228.2K
E1236	Wheelchair, pediatric size, folding, adjustable, with seating system	100	$1,260	$129.4K
E2609	Custom fabricated wheelchair seat cushion, any size	80	$1,230	$92.3K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	600	$130	$79.1K
E2617	Custom fabricated wheelchair back cushion, any size, including any type mounting hardware	60	$1,320	$72.7K
T5001	Positioning seat for persons with special orthopedic needs	70	$850	$61.9K
E0955	Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each	310	$150	$47K
E0960	Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware	450	$60	$27.7K

Showing 1–10 of 22

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

Pediatric Mobility Innovations — 8 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	1	10	910	$1,620	$3.8M
K0108	Wheelchair component or accessory, not otherwise specified	1	10	870	$380	$549.2K
A4554	Disposable underpads, all sizes	107	110	2,350	$30	$207.9K
E0641	Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels	1	10	30	$5,640	$186K
E2617	Custom fabricated wheelchair back cushion, any size, including any type mounting hardware	2	10	60	$2,110	$155.9K
E1236	Wheelchair, pediatric size, folding, adjustable, with seating system	1	10	100	$1,260	$129.4K
T5999	Supply, not otherwise specified	99	120	3,700	$10	$103.8K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	4	10	600	$140	$94.8K
E2609	Custom fabricated wheelchair seat cushion, any size	1	10	50	$1,430	$81.8K
T5001	Positioning seat for persons with special orthopedic needs	1	10	60	$850	$49.4K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Pediatric Mobility Innovations, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Early Interventions, LLC	SC	Speech-Language Pathologist	$0	$3.8M
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

Pediatric Mobility Innovations — Billing Profile & Reimbursement Data

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Pediatric Mobility Innovations — 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