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.

Aiken Regional Medical Centers LLC (NPI 1467448498)

Field	Value
Entity Type	Organization
Organization	Aiken Regional Medical Centers LLC
Address	302 University Parkway
City	Aiken
State	SC
ZIP	29801
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all reported facility revenue is Medicaid-only, totaling $31.5M. The absence of Medicare activity means analyses of payer mix and payment vulnerability should focus on Medicaid trends and policy in South Carolina.

Revenue concentration is high: the precomputed top three Medicaid codes (36415, G0463, 99283) account for 55.3% of the provider's total Medicaid revenue. Those three codes individually generated $9.1M (36.0%), $3.1M (12.3%), and $1.8M (7.0%) respectively, indicating a dependence on a small set of high-volume services to drive Medicaid revenue.

The code mix points to an operational profile built around high outpatient throughput and diagnostic capacity. 36415 (65.3K claims) and multiple lab/diagnostic codes (e.g., 80053, 87070, 0202U, C9803) show large-volume phlebotomy and laboratory services, while G0463 (38.6K claims) signals heavy use of hospital outpatient clinic visits; together these suggest the hospital functions as a regional outpatient and diagnostic hub.

Emergency department activity is a significant component of Medicaid volume but not uniquely concentrated: 99283 has 40.4K claims and generated $1.8M, yet it ranks #25 of 341 providers in-state (93th percentile) and is described as a typical, unremarkable volume. Other ED codes (99284 at 29.3K claims and 99282 at 8.4K claims) also appear in the top codes, indicating consistent ED throughput across low-to-moderate complexity visit levels.

The provider shows dominant statewide standing on several specific services. 36415 ranks #7 of 713 providers in-state (99th percentile; extreme outlier) and G0463 ranks #2 of 65 providers in-state (98th percentile; extreme outlier), meaning the hospital is an outlier in South Carolina for phlebotomy and hospital outpatient clinic visit volumes relative to peers. Additionally, 59025 (18.2K claims, $1.4M) ranks #1 of 122 providers (100th percentile; extreme outlier), which signals unusually high fetal monitoring/obstetric activity compared with other in-state providers.

Lab and diagnostic breadth is evident and supports outpatient and inpatient workflows: high-count codes include 36415 (65.3K claims), 80053 (42.2K claims), and specialized panels such as 0202U (2.8K claims) and C9803 (6.2K claims). Several of these lab codes sit in elevated in-state percentiles (e.g., 80053 at the 95th percentile, 87070 at the 90th percentile), indicating significant in-house testing capacity and recurring specimen throughput.

The revenue drivers are largely high-volume, lower‑unit‑price services (examples: 36415 average paid $140, G0463 average paid $81, 99283 average paid $44), which suggests the provider earns material revenue through throughput rather than high-margin procedures. This structure creates sensitivity to changes in visit volume, lab utilization, or Medicaid reimbursement policies for frequently billed clinic, ED, and lab services.

The provider has a long operating tenure under its current NPI (enumerated 2005-09-26, ~21 years ago), which provides an established presence in the market and helps explain the scale reflected in high claim counts and top-state ranks for multiple codes. That tenure coupled with the observed outlier positions indicates a mature facility with entrenched outpatient, ED, obstetric, and laboratory operations in South Carolina.

Medicaid: Complete Services Breakdown

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

275 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.	65,350	$140	$9.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38,640	$80	$3.1M
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.	40,400	$40	$1.8M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	18,220	$80	$1.4M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	3,290	$370	$1.2M
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.	8,420	$110	$951.6K
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…	9,590	$90	$872.6K
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.…	6,430	$130	$810.1K
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…	11,430	$60	$674.1K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	6,250	$100	$630.9K

Showing 1–10 of 275

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

Aiken Regional Medical Centers LLC — 5 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

275 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	102	340	2,970	$80	$711.1K
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.	12	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.	99	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.	25	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.	31	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.	19	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.	25	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…	51	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	15	110	1,880	$100	$414K

Showing 1–10 of 275

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aiken Regional Medical Centers LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aiken Regional Medical Centers LLC	SC	Pediatrics Physician	$0	$3.2M
Kashif Naseem	GA	Internal Medicine Physician	$340.1K	$0
Gerald Gordon	SC	Internal Medicine Physician	$295.2K	$0
William Besson	SC	Internal Medicine Physician	$274.8K	$0
Thomas Mccullough	SC	Internal Medicine Physician	$253.1K	$6.3K
Idris Sharaf	SC	Cardiovascular Disease Physician	$245.4K	$0
Asif Hashmi	SC	Internal Medicine Physician	$216K	$0
Jonathan Anderson	SC	Urology Physician	$197.9K	$0
Harold Jones	GA	Diagnostic Radiology Physician	$111K	$0
Timothy Shannon	SC	Orthopaedic Surgery Physician	$107.8K	$0

Nearby Providers

Other providers in the same ZIP code as Aiken Regional Medical Centers LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-development Center Of Aiken County, Inc.	SC	Cognitive & Behavioral Psychologist	$0	$39.6M
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
Rural Health Services, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$10.3M
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 County Board Of Disabilities	SC	Public Health or Welfare Agency	$0	$2.9M

Aiken Regional Medical Centers LLC — 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