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.

Greenville County School District (NPI 1447209242)

Field	Value
Entity Type	Organization
Organization	Greenville County School District
Address	205 Arcadia Dr
City	Greenville
State	SC
ZIP	29609
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Key Findings

GREENVILLE COUNTY SCHOOL DISTRICT reports no Medicare billing on file and $21.2M in lifetime Medicaid revenue, making its activity effectively single-payer (Medicaid) in scale; analysts should treat Medicaid as the sole meaningful fee-for-service revenue source when comparing payer exposure. The NPI was enumerated on 2006-05-09 (~20 years ago), indicating long tenure and an established presence in the state Medicaid program.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 78.8% of the provider’s total Medicaid revenue. Those top codes are 92508 ($8.9M, 41.9% of Medicaid revenue), T1015 ($4.6M, 21.6%), and T1502 ($3.3M, 15.3%), so reimbursement swings on a small set of service lines will materially affect overall Medicaid receipts.

The code mix strongly signals school-based allied health and related services operations: 92508 (group speech-language therapy), 92507/92523/92522 (individual speech evaluations/therapy), and S9152 (speech therapy re-evaluation) point to a dominant SLP/service-line; concurrent volumes for therapy codes such as 97530 (group therapeutic activities), 97110 (therapeutic exercise), 97150 (group therapeutic procedures), and 97168 (OT re-eval) indicate integrated PT/OT services delivered alongside speech services within the same operating model. T1015 (clinic visit/encounter) and T1502 (medication administration per visit) further support an in-school or school-clinic model that bundles encounters and routine med administration as a core function.

GREENVILLE is a clear statewide leader for multiple high-revenue codes: 92508 ranks #1 of 91 providers in-state (100th percentile; extreme outlier, far above typical state volume), T1015 ranks #1 of 353 providers in-state (100th percentile; extreme outlier), and T1502 ranks #2 of 79 providers in-state (99th percentile; extreme outlier). Additional 100th-percentile ranks for S9152 and selected re-eval codes underscore that this entity is a dominant provider for school-based speech and re-evaluation services in South Carolina.

The provider operates a very high-volume, low-unit-payment billing profile for core codes: 92508 shows 386.9K claims at $23 avg paid/claim, T1015 shows 653.7K claims at $7 avg paid/claim, and T1502 shows 361.4K claims at $9 avg paid/claim. This pattern indicates a throughput-driven revenue model (large claim counts with modest unit payments) rather than dependence on high-paid individual procedures, which has implications for utilization monitoring and per-encounter cost management.

Beyond the top three, the provider reports meaningful volumes in therapy and re-evaluation codes (97530 $2.2M, 10.3% of Medicaid revenue; S9152 $515.4K; 97110 $509K), showing a diversified allied-health mix within the education setting. Several ancillary codes (e.g., 97168, 92522) also rank at or near the top statewide (some 100th-percentile or notably above typical volume), reinforcing that the district’s services extend across speech, physical, and occupational therapy.

Because 78.8% of Medicaid revenue is concentrated in three codes, the provider’s financial exposure to rate adjustments or policy changes affecting school-based speech services, clinic-encounter billing, or med administration is elevated. Payers and analysts should prioritize monitoring of reimbursement policy and utilization trends for 92508, T1015, and T1502 when assessing budget risk and contract negotiations.

Operational footprint and competitive posture signal scale rather than niche participation: multiple codes are labeled “extreme outlier” or rank in the 99–100th percentiles statewide, which characterizes GREENVILLE COUNTY SCHOOL DISTRICT as a major, system-level provider of school-based allied health and related Medicaid services in South Carolina rather than a modest or occasional biller.

Medicaid: Complete Services Breakdown

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

18 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…	386,880	$20	$8.9M
T1015	Clinic visit/encounter, all-inclusive	653,720	$10	$4.6M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	361,450	$10	$3.3M
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.	50,790	$40	$2.2M
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…	21,500	$40	$881.4K
S9152	Speech therapy, re-evaluation	8,740	$60	$515.4K
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…	11,840	$40	$509K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	6,750	$30	$182.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	590	$140	$80.7K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	1,950	$30	$58.6K

Showing 1–10 of 18

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

Greenville County School District — 7 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	6	10	980	$570	$1.8M
H0031	Mental health assessment, by non-physician	69	80	180	$150	$1.2M
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…	1	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…	43	340	2,970	$80	$711.1K
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.	9	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	1	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	2	80	27,100	$10	$473.8K
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…	48	290	2,600	$60	$414.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	370	650	800	$120	$413.8K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	7	50	1,200	$30	$77.1K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Purpose-sc	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11M
Gateway House, Inc	SC	Community/Behavioral Health Agency	$0	$7.2M
All About Change, Incorporated	SC	Community/Behavioral Health Agency	$0	$3.4M
Emergencymd	SC	General Practice Physician	$0	$2.5M
At Home Professional Care Of Sc LLC	SC	Home Health Agency	$0	$2M
Ashley Parinella	SC	Surgery Physician	$213.2K	$0
Jennifer Vaughn	SC	Family Nurse Practitioner	$57.2K	$0

Greenville County School District — Billing Profile & Reimbursement Data

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Greenville County School District — 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

Nearby Providers

Frequently Asked Questions

References