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.

Anmed Health (NPI 1417919531)

Field	Value
Entity Type	Organization
Organization	Anmed Health
Address	800 N Fant St
City	Anderson
State	SC
ZIP	29621
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$75.9M
Medicare	$0

Key Findings

ANMED HEALTH is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $75.9M. Its NPI has been enumerated since 2006‑04‑04 (approximately 20 years), indicating an established presence in the market.

Revenue is concentrated in a small set of services: the top three Medicaid codes (36415, 99212, 80048) together account for 29.8% of the provider’s total Medicaid revenue. Those three codes are 36415: $6.3M (12.6%), 99212: $4.7M (9.5%), and 80048: $3.9M (7.7%), signaling meaningful dependence on phlebotomy, low‑complexity outpatient visits, and basic metabolic testing.

The code mix points to a lab‑and ambulatory‑heavy operating profile within an acute care hospital: high‑revenue lab and specimen codes (36415, 80048, 80053, 87070) and high claim counts for office/E/M codes (99212, 99213) suggest large outpatient throughput and in‑house diagnostic capacity rather than an inpatient‑only model. At the same time, the presence of ED E/M codes (99282, 99283) plus imaging (70553, 93306) and infusion codes (J7120, J7030) indicates the hospital provides broad acute services tied to that ambulatory and ED volume.

ANMED is a dominant statewide player for multiple laboratory and testing services: 36415 ranks #3 of 713 providers in‑state (100th percentile; extreme outlier), 87070 ranks #1 of 82 (100th percentile; extreme outlier), G2023 ranks #1 of 71 (100th percentile; extreme outlier), and 97112 and 94060 also rank #1 in their peer sets (100th percentile; extreme outliers). These rankings indicate ANMED’s volumes for specimen collection, cultures, COVID testing, neuromuscular reeducation, and spirometry are far above typical state volumes.

Not all high‑revenue services are outliers — several inpatient/infusion and imaging codes sit at typical or only moderately elevated volumes versus peers. Examples include J7120 ($3.2M, rank #8 of 66, 89th percentile; typical), J7030 ($2.8M, rank #6 of 71, 93th percentile; typical), and 70553 ($2.4M, rank #10 of 55, 83th percentile; typical), suggesting the provider’s infusion and advanced imaging activity is in line with regional acute care peers rather than uniquely dominant.

High claims counts on low‑unit‑price outpatient E/M and therapy codes create utilization‑driven Medicaid spend: 99213 has 63.1K claims ($15 avg paid/claim, $945.9K revenue) and 99212 has 44.4K claims ($107 avg paid/claim, $4.7M revenue), while therapy codes such as 97110 (46.2K claims, $2.6M revenue) and 97530 (46K claims, $1.1M revenue) further underscore sustained ambulatory visit volumes. For payers, these patterns point to per‑encounter utilization as a principal driver of Medicaid payments to this provider.

ANMED’s strong state rankings for respiratory and infectious disease testing suggest a concentrated public‑health/testing role: 87880 (strep) has 38.7K claims and $3.2M revenue (rank #4, 99th percentile; extreme outlier), G2023 (SARS‑CoV‑2 specimen collection) has 15.3K claims and $1.3M revenue (rank #1, 100th percentile; extreme outlier), and 87491/87486 (Chlamydia/related NAATs) are also high‑volume. This mix implies significant throughput and capacity for rapid diagnostic testing that payers should consider when assessing network testing capacity and reimbursement strategies.

From a contracting and network perspective, ANMED presents as an established, Medicaid‑focused acute care system with particularly outsized laboratory, specimen collection, respiratory testing, and outpatient therapy volumes relative to in‑state peers. The combination of concentrated revenue (top 3 codes = 29.8%), extreme outlier ranks on multiple diagnostic codes, and ~20 years of NPI tenure supports treating ANMED as a major Medicaid provider in South Carolina with specific strengths in diagnostics and ambulatory throughput.

Medicaid: Complete Services Breakdown

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

454 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	79,310	$80	$6.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	44,390	$110	$4.7M
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…	50,680	$80	$3.9M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	38,690	$80	$3.2M
J7120	Ringers lactate infusion, up to 1000 cc	10,120	$320	$3.2M
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.	55,930	$60	$3.2M
J7030	Infusion, normal saline solution , 1000 cc	14,150	$200	$2.8M
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…	46,170	$60	$2.6M
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…	2,130	$1,110	$2.4M
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.	10,400	$170	$1.8M

Showing 1–10 of 454

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

Anmed Health — 15 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

454 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…	87	90	20,640	$30	$944.1K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	7	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…	35	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.	9	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.	13	350	2,590	$70	$550.2K
A9575	Injection, gadoterate meglumine, 0.1 ml	2	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.	21	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.	29	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.	27	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…	10	60	170	$430	$434.9K

Showing 1–10 of 454

Related Providers

Other providers that share a Tax Identification Number (TIN) with Anmed Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$171.7M
Anmed Health	SC	Pediatrics Physician	$0	$10.3M
Cannon Memorial Hospital	SC	General Acute Care Hospital	$0	$7.5M
Anmed Health	SC	Pediatrics Physician	$0	$4.5M
Anmed Health Medicus Surgery Center LLC	SC	Ambulatory Surgical Clinic/Center	$974.8K	$2.7M
Anmed Health	SC	Family Medicine Physician	$0	$3.6M
Anmed Health	SC	Pediatrics Physician	$0	$3M
Anmed Health	SC	Obstetrics & Gynecology Physician	$0	$2.5M
Anmed Health	SC	Obstetrics & Gynecology Physician	$0	$2.1M
Anmed Health	SC	Family Medicine Physician	$0	$1.6M

Nearby Providers

Other providers in the same ZIP code as Anmed Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Seating And Mobility, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$44.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.9M
Creston Dental-1, P.C.	SC	General Practice Dentistry	$0	$14.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Medshore Ambulance Service, LLC	SC	Ambulance	$6.4M	$7M
Bryant Pharmacy & Supply	SC	Durable Medical Equipment & Medical Supplies	$0	$11.4M
Labtech Diagnostic, LLC	SC	Clinical Medical Laboratory	$0	$10.7M
Upstate Medical Staffing, Inc.	SC	In Home Supportive Care Agency	$0	$9.3M
Piedmont Childrens Clinic	SC	Pediatrics Physician	$0	$6.1M
Southern Pediatric Dentistry P.A.	SC	Pediatric Dentistry	$0	$6M

Anmed Health — 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