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.

Amisub Of South Carolina, Inc. (NPI 1457382483)

Field	Value
Entity Type	Organization
Organization	Amisub Of South Carolina, Inc.
Address	222 S Herlong Ave
City	Rock Hill
State	SC
ZIP	29732
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$34.5M
Medicare	$0

Key Findings

This provider reports none for Medicare revenue (no Medicare billing on file) and $34.5M in total Medicaid revenue, making its observed claims footprint effectively Medicaid-centric in these datasets. The absence of Medicare billing materially shapes comparative analyses and suggests analysts should treat Medicaid as the primary payer when assessing volume, revenue risk, and contracting exposure for this entity.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 38.1% of this provider's total Medicaid revenue. Those top drivers are 80053 ($4.7M, 16.7%), J3490 ($3.2M, 11.5%), and J8499 ($2.8M, 9.9%), indicating that a plurality of Medicaid dollars flow through laboratory panels and drug-related billing lines.

The code mix points to a high-throughput acute care operation with substantial in-house laboratory and drug administration activity: 80053 (CMP) has 47.5K claims and $4.7M revenue, 80048 (BMP) has 20.7K claims and $1.5M revenue, and drug lines J3490 and J8499 together account for $6.0M in revenue. Combined with large claim counts for basic procedures (36415 — 9K claims, $1.3M), the pattern is consistent with a hospital that performs repeated diagnostic testing and point-of-care medication administration.

This provider was a major state-level COVID testing resource during the relevant period: U0002 shows 10.4K claims and $2.1M revenue (rank #2 of 53, 98th percentile), U0003 has 3.8K claims and $788K revenue, and multiplex testing 87636 reports 7.1K claims and $677.3K revenue (rank #6 of 69, 93rd percentile). Those volumes indicate sustained investment or capacity in infectious disease testing and related lab throughput.

Several codes show the provider is a competitive or dominant participant in-state for specific lines of business. J3490 is labeled an "extreme outlier" and ranks #4 of 134 providers (98th percentile), J8499 ranks #1 of 7 providers (100th percentile), and 81003 ranks #7 of 495 providers (99th percentile); collectively these ranks signal unusually high state-level share in certain drug- and lab-related codes rather than modest participation.

Emergency and transport services represent a significant operational focus: ED E/M lines such as 99283 report 49.9K claims and $1.6M revenue (rank #18 of 341, 95th percentile) and 99284 reports 40.2K claims and $482.6K revenue (rank #14 of 353, 96th percentile). Ambulance codes are also material (A0427 — 19.2K claims, $1.6M, rank #7 of 90, 93th percentile; A0425 — 33.1K claims, $991.7K), which together portray a hospital that handles high volumes of emergency presentations and patient transport.

Ancillary imaging, contrast, and pathology services contribute meaningful Medicaid revenue and support an integrated acute-care service line: Q9967 contrast material shows $903.2K revenue (8.4K claims), 71046 chest x-ray has 22.4K claims and $403.8K revenue (rank #8 of 264, 97th percentile), and 88305 surgical pathology yields $261.8K. These lines reinforce that laboratory, imaging, and pathology are in-house capabilities driving reimbursement beyond core ED encounters.

The provider has an established tenure in the dataset with NPI enumerated 2006-07-06 (~20 years ago). Given long-standing enumeration combined with $34.5M in Medicaid revenue and concentrated dependencies on specific lab and drug codes, payer/provider analysts should prioritize Medicaid rate-setting, utilization management, and network positioning when assessing financial or competitive scenarios for this entity.

Medicaid: Complete Services Breakdown

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

285 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	47,470	$100	$4.7M
J3490	Unclassified drugs	29,680	$110	$3.2M
J8499	Prescription drug, oral, non chemotherapeutic, nos	58,920	$50	$2.8M
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	10,430	$200	$2.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	19,240	$80	$1.6M
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.	49,890	$30	$1.6M
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…	20,660	$70	$1.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	9,050	$140	$1.3M
A0425	Ground mileage, per statute mile	33,060	$30	$991.7K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	13,370	$70	$989.1K

Showing 1–10 of 285

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

Amisub Of South Carolina, Inc. — 8 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

285 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	10	20	350	$1,170	$776.4K
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.	10	210	1,470	$60	$615K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	12	90	1,720	$90	$577.3K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	7	90	1,720	$110	$525.8K
J8499	Prescription drug, oral, non chemotherapeutic, nos	1	10	940	$50	$475.5K
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.	18	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.	14	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.	12	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…	39	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.	16	140	2,520	$90	$415.3K

Showing 1–10 of 285

Nearby Providers

Other providers in the same ZIP code as Amisub Of South Carolina, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Horizons Homecare	SC	Community Based Hospice Care Agency	$0	$14.6M
Tri-county Pediatrics LLC	SC	Pediatrics Physician	$0	$13.8M
Carolinas Physicians Network Inc	SC	Pediatrics Physician	$0	$8.5M
A Mother's Choice Home Healthcare Agency LLC	SC	In Home Supportive Care Agency	$0	$6.9M
Right Steps LLC	SC	Speech-Language Pathologist	$0	$5.3M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$4M
Addus Healthcare (south Carolina), Inc.	SC	In Home Supportive Care Agency	$0	$3.7M
Family Dental LLC	SC	General Practice Dentistry	$0	$3.5M
Rock Hill Surgery Center, LLC	SC	Ambulatory Surgical Clinic/Center	$1.3M	$1.7M
Keystone Behavioral Health	SC	Community/Behavioral Health Agency	$0	$3M

Amisub Of South Carolina, Inc. — Billing Profile & Reimbursement Data

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Amisub Of South Carolina, Inc. — 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