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.

Spartan Health Services, Inc. (NPI 1427103761)

Field	Value
Entity Type	Organization
Organization	Spartan Health Services, Inc.
Address	315 Carolina Drive Ext
City	Roebuck
State	SC
ZIP	29376
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4554	Disposable underpads, all sizes	14,610	$30	$496.9K
T5999	Supply, not otherwise specified	32,190	$10	$386.3K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	6,140	$50	$325.5K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	4,580	$70	$316.3K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	1,990	$140	$272.8K
X1939	N/A	3,850	$70	$254.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	4,400	$50	$220.1K
T2028	Specialized supply, not otherwise specified, waiver	2,170	$90	$189.1K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	2,880	$70	$187.2K
A4927	Gloves, non-sterile, per 100	15,780	$10	$157.8K

Showing 1–10 of 15

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

Spartan Health Services, Inc. — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	22	30	1,650	$100	$252.5K
A4554	Disposable underpads, all sizes	17	110	2,350	$30	$207.9K
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	11	40	840	$130	$193.5K
X1939	N/A	16	70	1,410	$60	$179.9K
T2028	Specialized supply, not otherwise specified, waiver	6	30	760	$110	$150K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	13	70	1,160	$70	$143.6K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	10	80	1,260	$50	$130.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	13	70	1,020	$50	$109K
T5999	Supply, not otherwise specified	15	120	3,700	$10	$103.8K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	6	40	150	$70	$94.3K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spartanburg County School District Six	SC	Local Education Agency (LEA)	$0	$5.2M

Spartan Health Services, Inc. — Billing Profile & Reimbursement Data

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Spartan Health Services, 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

Nearby Providers

Frequently Asked Questions

References