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.

The Regional Medical Center Of Orangeburg And Calhoun Counties (NPI 1457309247)

Field	Value
Entity Type	Organization
Organization	The Regional Medical Center Of Orangeburg And Calhoun Counties
Address	3000 Saint Matthews Rd
City	Orangeburg
State	SC
ZIP	29118
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

Key Findings

THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES shows no Medicare billing on file and $25.7M in lifetime Medicaid revenue, meaning the public-payer footprint in the available dataset is effectively single‑payer (Medicaid) rather than balanced between Medicare and Medicaid. This concentration makes the provider’s public-revenue exposure highly dependent on state Medicaid volumes and reimbursement policies rather than on Medicare volume.

Revenue concentration is high: the precomputed top three Medicaid codes account for 36.6% of the provider’s total Medicaid revenue. Those top codes are 36415 ($4.2M revenue (21.6% of this provider's total Medicaid revenue)), 99283 ($1.5M revenue (7.8% of this provider's total Medicaid revenue)), and 96372 ($1.4M revenue (7.2% of this provider's total Medicaid revenue)), indicating a strong reliance on specimen collection, emergency department E/M for lower-acuity visits, and injection/administration services.

The code mix points to an acute-care hospital operating with very high outpatient emergency and laboratory throughput: 36415 (68.9K claims), 85025 (77.6K claims, $1.2M revenue (6.0%)), 81001 (43.1K claims, $1.0M revenue (5.3%)), and a cluster of microbiology and molecular codes (87070, 87804, 87635, 87430) together show routine high-volume lab and diagnostic testing supporting ED and inpatient workflows. Complementary revenue from infusion/IV codes such as J7040 ($1.1M revenue (5.7%)) and IV administration codes (96374, 96375) further supports a care profile centered on acute visits and procedural support rather than primarily ambulatory clinic care.

Several laboratory and specimen codes are statewide outliers, indicating market dominance in certain diagnostics: 36415 ranks #5 of 713 in-state (99th percentile; extreme outlier, far above typical state volume for this code), 85025 ranks #7 of 420 (99th percentile; extreme outlier, far above typical state volume for this code), and 84703 ranks #1 of 48 (100th percentile; extreme outlier, far above typical state volume for this code). These placements suggest the hospital is a major hub for blood collection and common lab testing in South Carolina.

Emergency department activity is a major revenue driver but skews toward lower-to-moderate acuity E/M codes: 99283 shows 49K claims and $1.5M revenue (7.8%) and ranks #19 of 341 in-state (95th percentile; typical, unremarkable volume for this code), while 99284 (41.1K claims, $534.7K revenue (2.7%)) ranks #13 of 353 (97th percentile). This pattern is consistent with a high-volume ED handling large numbers of lower- to moderate-acuity encounters rather than a disproportionate share of highest-acuity emergency care.

Infusion and IV-related services form a meaningful ancillary revenue stream: J7040 ($1.1M revenue (5.7%)) ranks #6 of 67 in-state (92th percentile; notably above typical), and IV administration codes 96374 ($462.3K, 2.4%) and 96375 ($413K, 2.1%) also rank above typical volumes. The combination of saline/infusion billing and frequent IV pushes/heparin flushes (J1642 $346.3K, 1.8%) indicates recurring procedural throughput consistent with emergency, observation, or short-stay inpatient care pathways.

Beyond ED and lab dominance, the provider demonstrates breadth across imaging, pathology, and therapy services that support an acute-care hospital model: chest x‑ray 71046 (11.3K claims, $191.4K revenue (1.0%)) and echocardiography 93306 (2.2K claims, $172.4K revenue (0.9%)) appear in the top 25, while pathology 88305 ($591.3K, 3.0%) and therapeutic exercise 97110 ($213.6K, 1.1%) show capacity for surgical pathology and rehabilitative care. These mid-range contributors underline a full-service facility rather than a narrow freestanding clinic.

The provider has an established NPI tenure (enumerated 2006-05-04, ~20 years ago), indicating long-term operation in its market. Coupled with the lack of Medicare billing on file, this suggests the hospital either focuses its payer mix on Medicaid populations in the available data or does not bill Medicare under this NPI; in either case, its competitive and financial position will be especially sensitive to state Medicaid utilization trends and contract terms.

Medicaid: Complete Services Breakdown

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

350 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.	68,900	$60	$4.2M
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.	48,990	$30	$1.5M
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…	20,440	$70	$1.4M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	12,830	$110	$1.4M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	77,570	$20	$1.2M
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	7,930	$140	$1.1M
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	43,090	$20	$1M
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	11,470	$80	$940.8K
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…	14,490	$50	$666.4K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	6,800	$90	$638.7K

Showing 1–10 of 350

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

The Regional Medical Center Of Orangeburg And Calhoun Counties — 10 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

350 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	8	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.	141	350	2,590	$70	$550.2K
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.	19	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.	13	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.	26	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…	50	60	170	$430	$434.9K
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.	34	140	2,520	$90	$415.3K
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…	59	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8	110	1,880	$100	$414K
J7030	Infusion, normal saline solution , 1000 cc	29	70	2,620	$60	$337.3K

Showing 1–10 of 350

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Regional Medical Center Of Orangeburg And Calhoun Counties, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$8.7M
David Koon	SC	Orthopaedic Surgery Physician	$152.8K	$0
Vann Beth Shuler	SC	Family Medicine Physician	$135.9K	$0
Ali-reza Golshayan	NC	Hematology (Internal Medicine) Physician	$128.4K	$0
Mickey Plymale	SC	Sports Medicine (Orthopaedic Surgery) Physician	$123.4K	$0
Vishal Agrawal	GA	Pulmonary Disease Physician	$101K	$0
Amit Sanghi	SC	Diagnostic Radiology Physician	$99.2K	$940
James Jackson	SC	Orthopaedic Surgery Physician	$64.7K	$0
Daniel Reidman	ME	Diagnostic Radiology Physician	$55.5K	$0
Matthew Wild	MT	Certified Registered Nurse Anesthetist	$46.5K	$0

Nearby Providers

Other providers in the same ZIP code as The Regional Medical Center Of Orangeburg And Calhoun Counties, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.7M
Orangeburg County School District	SC	Local Education Agency (LEA)	$0	$6.4M
County Of Orangeburg	SC	Land Ambulance	$819.8K	$2.5M
New Beginnings Diabetic & Homecare Services, Inc	SC	Nursing Care Agency	$0	$2.9M
Duane Hogue	SC	Family Nurse Practitioner	$708.8K	$0
Mohammed Abdulfatah	SC	Rheumatology Physician	$639.3K	$0
Alberto Gonzalez	SC	Psychiatry Physician	$26.4K	$398.5K
Marlene Workman	SC	Physical Therapist	$388K	$0
John Samies	SC	Infectious Disease Physician	$318.3K	$0
Courtney Bordenkecher	SC	Foot & Ankle Surgery Podiatrist	$194.4K	$0

The Regional Medical Center Of Orangeburg And Calhoun Counties — 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