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.

Tri-county Adult Day Services, Inc (NPI 1497924039)

Field	Value
Entity Type	Organization
Organization	Tri-county Adult Day Services, Inc
Address	169 Calvary Lane
City	Cheraw
State	SC
ZIP	29520
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 28, 2008

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	81,800	$30	$2.5M
S5102	Day care services, adult; per diem	35,140	$60	$2.1M
S5130	Homemaker service, nos; per 15 minutes	62,100	$20	$993.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	7,000	$10	$98K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4,430	$10	$62K

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

Tri-county Adult Day Services, Inc — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	25	100	33,410	$70	$4.6M
S5102	Day care services, adult; per diem	18	50	26,050	$60	$1.7M
S5130	Homemaker service, nos; per 15 minutes	16	80	27,870	$20	$816K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	31	50	13,420	$10	$226.7K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	13	20	6,100	$20	$164.8K

Nearby Providers

Other providers in the same ZIP code as Tri-county Adult Day Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Health Cheraw	SC	General Acute Care Hospital	$0	$6.8M
Caresouth Carolina, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$1.7M
Jonathan Mitchell	SC	Dentist	$0	$1.7M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$1.6M
Lifeguard Ambulance Service LLC	SC	Land Ambulance	$557.8K	$737.2K
Bridges & James, Inc	SC	Community/Retail Pharmacy	$60K	$888.5K
Travis Novinger	SC	Family Medicine Physician	$412.8K	$0
John Mcleod	SC	Family Medicine Physician	$295.2K	$9.1K
Charles Mcdonald	SC	Family Nurse Practitioner	$124K	$740
Douglas Cunningham	SC	Podiatrist	$81.9K	$0

Tri-county Adult Day Services, Inc — Billing Profile & Reimbursement Data

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Tri-county Adult Day Services, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References