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.

Rural Health Services, Inc (NPI 1447530431)

Rural Health Services, Inc is a federally qualified health center (fqhc) provider located in Aiken, South Carolina. This profile covers 0 Medicare and 101 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rural Health Services, Inc
Address	1000 Clyburn Pl
City	Aiken
State	SC
ZIP	29801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 22, 2011

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	24,250	$150	$3.6M
T1015	Clinic visit/encounter, all-inclusive	17,910	$80	$1.4M
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,…	9,510	$140	$1.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,950	$150	$1.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,270	$160	$507.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,490	$150	$373.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,420	$150	$367.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,580	$160	$245.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,280	$160	$198.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	930	$150	$140.6K

Showing 1–10 of 101

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

Rural Health Services, Inc — 4 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	54	90	260	$430	$688.8K
T1015	Clinic visit/encounter, all-inclusive	68	350	3,560	$30	$525.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	107	280	600	$90	$299K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	23	160	270	$70	$268.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	108	2,770	210	$60	$254.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	441	2,480	350	$80	$246K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	99	380	160	$100	$226.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	43	100	240	$100	$187.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	45	70	150	$70	$156.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	137	410	330	$50	$152.6K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rural Health Services, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$4M
Nicole Edwards	SC	Family Medicine Physician	$300.4K	$0
Jennifer Winslow	MA	Rheumatology Physician	$222.6K	$0
Robert Kellett	TN	Family Medicine Physician	$180.9K	$850
Fantasia Chandler	SC	Family Nurse Practitioner	$151.8K	$0
Adam Solomon	OR	Primary Care Nurse Practitioner	$139.9K	$0
Kenneth Jones	SC	Family Medicine Physician	$3.7K	$4.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-development Center Of Aiken County, Inc.	SC	Cognitive & Behavioral Psychologist	$0	$39.6M
Aiken Regional Medical Centers LLC	SC	General Acute Care Hospital	$0	$31.5M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Sound Physicians Emergency Medicine Of South Carolina LLC	SC	Emergency Medicine Physician	$0	$14.2M
Regency Hospice Of Georgia, LLC	SC	Community Based Hospice Care Agency	$0	$12M
Children's Place, Inc	SC	Community/Behavioral Health Agency	$0	$6.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$6.6M
Aiken County	SC	Ambulance	$1.1M	$2.4M
Aiken Dental Associates	SC	General Practice Dentistry	$0	$3.3M
Aiken Regional Medical Centers LLC	SC	Pediatrics Physician	$0	$3.2M

Rural Health Services, Inc — Billing Profile & Reimbursement Data

Sign up for Rural Health Services, Inc — Billing Profile & Reimbursement Data policy alerts

Rural Health Services, Inc — Billing Profile & Reimbursement Data

Sign up for Rural Health Services, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References