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.

Horry County Schools (NPI 1508814757)

Field	Value
Entity Type	Organization
Organization	Horry County Schools
Address	1605 Horry St
City	Conway
State	SC
ZIP	29527
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Key Findings

HORRY COUNTY SCHOOLS is effectively a single‑payer Medicaid billing entity with no Medicare billing on file and $24.1M in lifetime Medicaid revenue; its Medicaid activity drives the entire recorded revenue footprint for this NPI which was enumerated 2006-05-04 (~20 years ago).

Revenue concentration is high: the precomputed top‑3 Medicaid codes (92508, T1015, 90837) together account for 47.0% of the provider’s total Medicaid revenue, indicating that a small set of service lines disproportionately drive receipts.

The top revenue code, 92508 (group speech services), generated $4.7M and 197.1K claims and ranks #3 of 91 providers in-state (98th percentile), showing materially elevated state volume for group communication/hearing therapy consistent with a school or LEA setting.

T1015 (clinic visit/encounter) is a major volume driver with 542.2K claims and $3.8M revenue; the provider ranks #2 of 353 in-state (100th percentile) and is labeled an extreme outlier, signaling an unusually large clinic/encounter throughput compared with peers.

Behavioral health psychotherapy is another core service line: 90837 generated $2.8M (23.7K claims) and ranks #20 of 647 providers in-state (97th percentile), and related psychotherapy codes 90834 and 90832 also contribute multi-million and million-dollar revenues respectively, indicating sustained outpatient mental‑health programming.

Medication administration and nursing services appear integrated into operations: T1502 produced $2.7M across 342.8K claims (rank #3 of 79, 97th percentile) and nursing code T1002 contributed $518.6K (47.1K claims, rank #6 of 102, 95th percentile), consistent with school‑based medication and nursing support workflows.

The provider holds dominant or top‑tier competitive positions on multiple in‑state metrics: aside from the T1015 extreme outlier status, it ranks #2 for 90791 (psychiatric evaluation) and #2 for H0032 (mental health plan development), both described as far above typical state volume, which together indicate leadership in behavioral health intake and care‑planning services.

Operational implications: the mix of high‑volume clinic/encounter codes, group and individual speech therapy (92508, 92507, S9152), psychotherapy (90837/90834/90832), psychosocial rehabilitation (H2017), and frequent short‑interval medication administration suggests integrated, school‑based health and behavioral health programming — consistent with the provider’s LEA taxonomy and the large claim counts reported for these codes.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	197,080	$20	$4.7M
T1015	Clinic visit/encounter, all-inclusive	542,180	$10	$3.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	23,740	$120	$2.8M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	342,790	$10	$2.7M
90834	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…	22,670	$90	$2M
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…	30,650	$50	$1.5M
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…	30,660	$50	$1.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	43,480	$30	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,010	$150	$1.1M
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.	16,340	$50	$735.3K

Showing 1–10 of 27

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

Horry County Schools — 9 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	8	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	33	80	180	$150	$1.2M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3	90	20,640	$30	$944.1K
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…	27	340	2,970	$80	$711.1K
90834	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…	18	210	320	$130	$707.4K
T1002	Rn services, up to 15 minutes	6	100	5,080	$60	$611.2K
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.	50	350	2,590	$70	$550.2K
S9482	Family stabilization services, per 15 minutes	18	20	1,180	$60	$538.2K
T1015	Clinic visit/encounter, all-inclusive	2	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	3	80	27,100	$10	$473.8K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Horry County Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic Healthcare Group Inc	SC	Home Health Agency	$0	$6.2M

Horry County Schools — Billing Profile & Reimbursement Data

Sign up for Horry County Schools — Billing Profile & Reimbursement Data policy alerts

Horry County Schools — Billing Profile & Reimbursement Data

Sign up for Horry County Schools — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References