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.

Trident Medical Center, LLC (NPI 1366496937)

Field	Value
Entity Type	Organization
Organization	Trident Medical Center, LLC
Address	9330 Medical Plaza Dr
City	Charleston
State	SC
ZIP	29406
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$55.8M
Medicare	$0

Key Findings

TRIDENT MEDICAL CENTER, LLC appears to be effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $55.8M. This concentration on Medicaid makes its financial footprint in the claims data driven almost entirely by state Medicaid activity rather than federal Medicare payments.

Revenue is highly concentrated in a small set of outpatient codes: the precomputed top three Medicaid codes account for 38.2% of the provider’s total Medicaid revenue. The single largest Medicaid line item is 99283 ($7M, 17.0% of Medicaid revenue), followed by 80053 ($5.4M, 13.0%) and 99281 ($3.4M, 8.3%), indicating a handful of services drive a disproportionate share of reimbursement.

The code mix points to a hospital operating with a heavy emergency department and on-site diagnostic capacity. Multiple high-revenue E/M ED codes (99283, 99282, 99281, 99284) alongside large volumes of lab codes such as 80053 (62.3K claims) and 80048 (33.6K claims) suggest routine throughput of acute, unscheduled care supported by in-house laboratory services.

TRIDENT is a dominant statewide ED provider by volume for core ED visit codes: 99283 ranks #2 of 341 in-state (100th percentile; extreme outlier), 99282 ranks #1 of 138 (100th percentile; extreme outlier), and 99281 ranks #1 of 83 (100th percentile; extreme outlier). These rankings indicate the hospital operates at far higher ED volumes for these acuity levels than typical peers in South Carolina, consistent with being a primary regional emergency access point.

Laboratory and point-of-care diagnostics are notable strengths and likely support the ED-heavy workflow: 80053 (CMP) ranks #6 of 212 in-state (98th percentile; notably above typical) and high-volume lab items such as 87275 (26.6K claims, $1.3M) rank #1 of 5 (100th percentile; notably above typical state volume for this code). The provider also posts high volumes on tests like 81001 (68.8K claims, ranks #2 of 180, 99th percentile) and 87635 (19.8K claims, ranks #3 of 174, 99th percentile), underscoring steady laboratory throughput.

The facility also shows meaningful obstetric imaging activity consistent with an active maternity service line: 76816 (7.9K claims, $3.2M, 7.9% of Medicaid revenue) ranks #7 of 103 (94th percentile) and 76811 (4.1K claims, $1.5M, 3.6%) ranks #7 of 37 (83th percentile). These coded services indicate regular fetal surveillance and follow-up imaging workflows beyond routine ED care.

Ancillary revenue drivers reflect high-frequency, low-unit services that aggregate materially: pregnancy tests 81025 (41.7K claims, $375.3K, ranks #2 of 382, 100th percentile), urinalysis 81001 (68.8K claims, $1.2M), and medication administration 96374 (44.9K claims, $449.4K, ranks #1 of 102, 100th percentile) point to frequent point-of-care testing and repeated medication administrations typical of high-volume ED and outpatient clinic operations.

The provider’s NPI was enumerated on 2006-05-19 (~20 years ago), indicating an established presence in the market. Combined with high Medicaid revenue concentration and multiple extreme outlier rankings for ED and lab codes, the tenure plus utilization pattern is consistent with a stable, high-volume regional acute care hospital focused on emergency, diagnostic, and obstetric services.

Medicaid: Complete Services Breakdown

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

335 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.	146,070	$50	$7M
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.	62,300	$90	$5.4M
99281	The provider sees a patient for the lowest level emergency department visit.	17,250	$200	$3.4M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7,890	$410	$3.2M
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…	33,580	$80	$2.6M
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.	44,080	$60	$2.6M
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.	80,060	$20	$1.9M
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	21,660	$80	$1.6M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4,110	$370	$1.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	7,290	$180	$1.3M

Showing 1–10 of 335

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

Trident Medical Center, LLC — 16 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

335 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	12	20	350	$1,170	$776.4K
92507	The 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…	142	340	2,970	$80	$711.1K
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.	6	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.	118	350	2,590	$70	$550.2K
A9575	Injection, gadoterate meglumine, 0.1 ml	3	10	300	$440	$498K
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.	2	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.	5	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.	28	200	1,680	$50	$443.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	53	60	170	$430	$434.9K
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.	1	140	2,520	$90	$415.3K

Showing 1–10 of 335

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley Kowal	SC	Anesthesiology Physician	$15.6K	$0

Nearby Providers

Other providers in the same ZIP code as Trident Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sweetgrass Pediatrics	SC	Pediatrics Physician	$0	$37.1M
Trident Ambulatory Surgery Center, L.P.	SC	Ambulatory Surgical Clinic/Center	$1M	$10.9M
Palmetto Pediatrics, PA	SC	Pediatrics Physician	$0	$9M
Taylor Consultants, LLC	SC	Case Manager/Care Coordinator	$0	$7.5M
Charleston Children's Therapy Center, LLC	SC	Pediatric Physical Therapist	$0	$5.7M
Trident Medical Center, LLC	SC	General Acute Care Hospital	$0	$4.1M
Med-trans Corporation	SC	Air Ambulance	$292K	$3.6M
Oral Surgery Of South Carolina LLC	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$3.8M
Crossroads Treatment Center Of Charleston, PC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$153.1K	$3.2M
Gaslite Dental Health PC	SC	Dental Clinic/Center	$0	$3.2M

Trident Medical Center, LLC — Billing Profile & Reimbursement Data

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Trident Medical Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References