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    OpenPayerNPI Medicare & MedicaidTherapeutic Designs And Services
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    Therapeutic Designs And Services — Billing Profile & Reimbursement Data

    NPI 1336198951 · Hartsville, SC · Occupational Therapist

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    Therapeutic Designs And Services is a occupational therapist provider located in Hartsville, South Carolina. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTherapeutic Designs And Services
    Address603 W Carolina Ave
    CityHartsville
    StateSC
    ZIP29550
    TaxonomyOccupational Therapist
    NPI EnumeratedMay 9, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The 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.46,440$80$3.7M
    92507The 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…17,040$80$1.4M
    92609The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.700$40$30.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…210$40$9.1K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.40$120$5.1K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…150$30$4.1K
    97167The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…30$40$1.2K
    S9152Speech therapy, re-evaluation10$50$710

    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.

    Full comparison — all codes billed, vs. South Carolina median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92507The 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…543402,970$80$711.1K
    97530The 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.123502,590$70$550.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…3450370$30$44.4K
    S9152Speech therapy, re-evaluation8510090$60$39K
    92609The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.320190$40$26.6K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.347030$100$20.7K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…2050110$30$7.7K
    97167The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…61020$40$1.2K

    Nearby Providers

    Other providers in the same ZIP code as Therapeutic Designs And Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartsville, LLCSCGeneral Acute Care Hospital$0$18.4M
    Caresouth Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$12.4M
    App Of South Carolina Ed PLLCSCEmergency Medicine Physician$0$11M
    Darlington County Disabilities And Special Needs BoardSCCase Management Agency$0$9.7M
    Morphis Pediatric GroupSCPediatrics Physician$0$8M
    Childrens Group PCSCPediatrics Physician$0$7.1M
    Caring Hearts PediatricsSCSpecialist$0$5.5M
    Hartsville Medical Group LLCSCInternal Medicine Physician$0$4.2M
    Black Creek Medical Consultants, LLCSCSleep Medicine (Otolaryngology) Physician$0$2.9M
    Starting Point Of Darlington, LLCSCSubstance Use Disorder Rehabilitation Clinic/Center$137.5K$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Therapeutic Designs And Services — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina