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.

Roper St Francis Hospital-berkeley Inc. (NPI 1336603646)

Field	Value
Entity Type	Organization
Organization	Roper St Francis Hospital-berkeley Inc.
Address	100 Callen Blvd
City	Summerville
State	SC
ZIP	29486
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 31, 2019

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

156 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	22,710	$40	$954K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	5,870	$110	$621.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,840	$60	$548.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,100	$120	$488.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	10,480	$40	$450.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	10,940	$40	$437.5K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	9,460	$30	$302.7K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	1,620	$140	$233.9K
0241U	N/A	1,910	$120	$227.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,490	$60	$205.9K

Showing 1–10 of 156

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

Roper St Francis Hospital-berkeley Inc. — 0 of 25 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

156 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	58	210	1,470	$60	$615K
97530	The 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.	270	350	2,590	$70	$550.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	49	340	110	$40	$450.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	53	350	100	$50	$446.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	51	200	1,680	$50	$443.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	49	140	2,520	$90	$415.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	137	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	46	110	1,880	$100	$414K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	29	150	2,500	$50	$324.9K
J7050	Infusion, normal saline solution, 250 cc	38	50	1,140	$100	$309.2K

Showing 1–10 of 156

Related Providers

Other providers that share a Tax Identification Number (TIN) with Roper St Francis Hospital-berkeley Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cary Hickman	SC	Internal Medicine Physician	$300.4K	$0
Keith Lackey	SC	Internal Medicine Physician	$276.2K	$0
Thomas Kaelin	SC	Pulmonary Disease Physician	$247.8K	$0
Michael Spandorfer	SC	Pulmonary Disease Physician	$246.4K	$0
James Carswell	SC	Critical Care Medicine (Internal Medicine) Physician	$222K	$0
John Mitchell	SC	Critical Care Medicine (Internal Medicine) Physician	$216.5K	$0
Craig Schuring	GA	Critical Care Medicine (Internal Medicine) Physician	$186.1K	$0
Muhammad Rashad	NC	Pulmonary Disease Physician	$161.9K	$0
Alexis Jesup	SC	Family Medicine Physician	$154.2K	$0
Jason Gunn	SC	Critical Care Medicine (Internal Medicine) Physician	$146.4K	$0

Nearby Providers

Other providers in the same ZIP code as Roper St Francis Hospital-berkeley Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Surgery Center Limited Partnership	SC	Ambulatory Surgical Clinic/Center	$2.6M	$2M
Broad River Physicians Group, LLC	SC	Emergency Medicine Physician	$0	$3M
Sfd Kids LLC	SC	Dentist	$0	$2.4M
Durga Adhikari	SC	Rheumatology Physician	$2.4M	$0
Colin Edgerton	SC	Rheumatology Physician	$1.9M	$0
Jennifer Murphy	SC	Rheumatology Physician	$1.4M	$0
Gregory Niemer	SC	Rheumatology Physician	$1.4M	$0
Low Country Endoscopy Center, LLC	SC	Ambulatory Surgical Clinic/Center	$524.9K	$93.6K
Michael Marte	SC	Hematology & Oncology Physician	$607.8K	$0
Nicholas Holdgate	SC	Rheumatology Physician	$557.8K	$0

Roper St Francis Hospital-berkeley Inc. — Billing Profile & Reimbursement Data

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Roper St Francis Hospital-berkeley Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References