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.

Sumter School District (NPI 1407152531)

Field	Value
Entity Type	Organization
Organization	Sumter School District
Address	220 Hasel St
City	Sumter
State	SC
ZIP	29150
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 8, 2011

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	76,580	$30	$1.9M
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.	11,880	$50	$546.3K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	40,650	$10	$406.5K
T1002	Rn services, up to 15 minutes	40,640	$10	$406.4K
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…	8,740	$40	$375.7K
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…	4,700	$50	$239.9K
T1015	Clinic visit/encounter, all-inclusive	25,850	$10	$155.1K
S9152	Speech therapy, re-evaluation	1,340	$60	$83.2K
T1003	Lpn/lvn services, up to 15 minutes	9,070	$10	$63.5K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,000	$30	$30.1K

Showing 1–10 of 13

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

Sumter School District — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	10	90	20,640	$30	$944.1K
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…	135	340	2,970	$80	$711.1K
T1002	Rn services, up to 15 minutes	7	100	5,080	$60	$611.2K
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.	69	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	56	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	30	80	27,100	$10	$473.8K
T1003	Lpn/lvn services, up to 15 minutes	7	40	1,440	$110	$417K
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…	62	290	2,600	$60	$414.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	26	50	1,200	$30	$77.1K
Q3014	Telehealth originating site facility fee	6	30	70	$30	$67.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Sumter School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-midlands	SC	General Acute Care Hospital	$0	$28.1M
Sumter Pediatrics, P.A.	SC	Pediatrics Physician	$0	$24.4M
Tandem Health Sc	SC	Federally Qualified Health Center (FQHC)	$0	$17.3M
Colonial Family Practice, LLC	SC	Family Medicine Physician	$0	$9.5M
Tandem Health Sc	SC	Federally Qualified Health Center (FQHC)	$0	$7.8M
Prisma Health Tuomey	SC	Emergency Medicine Physician	$0	$6.8M
Wesmark Dental Health Center	SC	General Practice Dentistry	$0	$6.3M
Addus Healthcare (south Carolina), Inc.	SC	In Home Supportive Care Agency	$0	$5.5M
Carolina Children's Dentistry, LLC	SC	Pediatric Dentistry	$0	$5.2M
Kool Smiles, PC	SC	General Practice Dentistry	$0	$4.2M

Sumter School District — Billing Profile & Reimbursement Data

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Sumter School District — 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