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.

Little River Medical Center, Inc (NPI 1346638483)

Field	Value
Entity Type	Organization
Organization	Little River Medical Center, Inc
Address	4220 Carolina Exchange Blvd
City	Myrtle Beach
State	SC
ZIP	29579
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 23, 2014

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 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…	22,660	$180	$4.1M
T1015	Clinic visit/encounter, all-inclusive	11,120	$110	$1.2M
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…	5,190	$170	$897K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,910	$190	$353.2K
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…	1,870	$180	$339.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,730	$190	$322.9K
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…	1,160	$180	$204.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	730	$190	$137.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	640	$60	$39.7K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1,210	$20	$28.9K

Showing 1–10 of 62

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

Little River Medical Center, Inc — 1 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	155	210	320	$130	$707.4K
T1015	Clinic visit/encounter, all-inclusive	98	350	3,560	$30	$525.5K
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…	111	280	600	$90	$299K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	57	160	270	$70	$268.1K
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…	115	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…	294	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…	98	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.	74	390	100	$100	$148.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	155	170	500	$50	$128.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	61	340	110	$110	$107.9K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Little River Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Little River Medical Center Inc	SC	Federally Qualified Health Center (FQHC)	$0	$8M
Little River Medical Center Inc	SC	Dentist	$0	$4M
Little River Medical Center, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.8M
Little River Medical Center, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$3.6M
Rachel Gasque	SC	Nurse Practitioner	$1M	$0
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Jordan Toman	WI	Diagnostic Radiology Physician	$67.3K	$261.7K
Kenneth Fox	NC	Diagnostic Radiology Physician	$303K	$360
Stefan Ploch	SC	Diagnostic Radiology Physician	$246.7K	$12.9K
Dennis Burton	FL	Diagnostic Radiology Physician	$179.1K	$2.7K

Nearby Providers

Other providers in the same ZIP code as Little River Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapy Consortium Inc.	SC	Speech-Language Pathologist	$0	$18.9M
Center Of Hope Of Myrtle Beach, LLC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$258.9K	$5.6M
Conway Hospital Inc	SC	Pediatrics Physician	$0	$4.9M
Sawgrass Pediatric Dentistry, LLC	SC	Pediatric Dentistry	$0	$3.6M
Connections Pediatric Therapy	SC	Pediatric Occupational Therapist	$0	$2.9M
Carolina Bone & Joint Surgery Center	SC	Ambulatory Surgical Clinic/Center	$2.3M	$0
Coastal Carolina Oral Maxillofacial Surgery	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$2M
Oceanic Counseling Group LLC	SC	Mental Health Counselor	$0	$1.6M
Michael Centilli	SC	Dermatology Physician	$925.1K	$7.5K
Scott Sauer	SC	Interventional Pain Medicine Physician	$650.6K	$0

Little River Medical Center, Inc — Billing Profile & Reimbursement Data

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Little River Medical Center, 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