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.

Hospice Care Of South Carolina, LLC (NPI 1558457804)

Field	Value
Entity Type	Organization
Organization	Hospice Care Of South Carolina, LLC
Address	706 E Main St
City	Spartanburg
State	SC
ZIP	29302
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$57.7M
Medicare	$0

Key Findings

HOSPICE CARE OF SOUTH CAROLINA, LLC reports no Medicare billing on file and $57.7M in lifetime Medicaid revenue, making its reported operations effectively single-payer Medicaid in the available claims data. This absence of Medicare activity means payer-level comparisons should focus on Medicaid dynamics rather than cross-payer mix.

Revenue is extremely concentrated in hospice per-diem services: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with S9126 representing 53.0% and T2046 representing 47.0% of Medicaid revenue. That concentration implies most of the provider’s billing and reimbursement are driven by a narrow set of hospice per-diem services.

The code mix shows a clear operational focus on both in-home hospice and long-term care facility hospice care: S9126 is Hospice care, in the home, per diem and T2046 is Hospice long term care, room and board only; per diem. Average paid amounts differ notably by setting, with S9126 at $1847 avg paid/claim and T2046 at $3748 avg paid/claim, indicating higher per-diem payments for room-and-board hospice placements versus in-home hospice.

Claim volumes are substantial and concentrated: S9126 accounts for 16.6K claims while T2046 accounts for 7.2K claims, together driving the full $57.7M Medicaid revenue profile. These volumes reflect consistent per-diem billing at scale across both in-home and long-term care settings.

Competitive standing in state Medicaid hospice is prominent for this provider: S9126 ranks #1 of 20 providers in-state and is characterized as an extreme outlier, far above typical state volume for this code, while T2046 ranks #2 of 42 providers in-state at the 98th percentile and is described as notably above typical state volume. These rankings indicate the provider is a dominant presence in Medicaid hospice per-diem billing in South Carolina, particularly for in-home hospice.

The provider’s financial profile is sensitive to Medicaid reimbursement and policy changes because Medicaid represents the entirety of reported Medicare/Medicaid revenue; with no Medicare claims on file, shifts in Medicaid per-diem rates or eligibility could materially affect reported revenue. Analysts should treat Medicaid policy and state-level hospice payment trends as primary levers affecting this entity’s revenue outlook.

HOSPICE CARE OF SOUTH CAROLINA has an established NPI tenure, enumerated on 2006-10-05 (~20 years ago), signaling a long-running presence in the market that aligns with the high cumulative Medicaid volumes observed. Tenure combined with high, concentrated claim volumes suggests an entrenched operational footprint in statewide hospice care networks.

From a payer strategy and operational standpoint, dependence on two per-diem hospice codes (S9126 and T2046) that together make up 100.0% of Medicaid revenue highlights both specialization and concentration risk; any shifts in utilization patterns between in-home hospice and long-term care hospice, or changes to per-diem reimbursement, would likely have immediate and sizable impacts on reported revenue.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9126	Hospice care, in the home, per diem	16,550	$1,850	$30.6M
T2046	Hospice long term care, room and board only; per diem	7,240	$3,750	$27.1M

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

Hospice Care Of South Carolina, LLC — 2 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	2	40	820	$3,500	$5.9M
S9126	Hospice care, in the home, per diem	1	20	690	$1,580	$3.7M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hospice Care Of South Carolina, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donna Sellers	SC	Family Nurse Practitioner	$37.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina School For The Deaf And The Blind	SC	Local Education Agency (LEA)	$0	$9.9M
Carolina Pediatric Dentistry	SC	Dental Clinic/Center	$0	$5.7M
Healing Solutions, LLC	SC	Marriage & Family Therapist	$0	$4.5M
Legacy Healthcare Advantage LLC	SC	In Home Supportive Care Agency	$0	$3.9M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$3.9M
Spartanburg Medical Center	SC	Home Health Agency	$0	$3.7M
Wiregrass Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$3.5M
Palmetto Early Intervention Service	SC	Early Intervention Provider Agency	$0	$2.5M
Modern Wellness Family Counseling, LLC	SC	Marriage & Family Therapist	$0	$2.5M
Carolina Vision Associates, LLC	SC	Optometrist	$0	$2M

Hospice Care Of South Carolina, LLC — Billing Profile & Reimbursement Data

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Hospice Care Of South Carolina, 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