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.

Edwards Health Care Services, Inc. (NPI 1598094104)

Field	Value
Entity Type	Organization
Organization	Edwards Health Care Services, Inc.
Address	150 Executive Center Dr
City	Greenville
State	SC
ZIP	29615
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 10, 2009

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0784	External ambulatory infusion pump, insulin	3,700	$250	$922K
A4230	Infusion set for external insulin pump, non needle cannula type	5,220	$170	$872.4K
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	8,970	$30	$233.3K
A4224	Supplies for maintenance of insulin infusion catheter, per week	10,410	$20	$187.4K
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	6,560	$10	$85.3K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	370	$110	$39.4K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	720	$50	$36.6K
A4259	Lancets, per box of 100	50	$20	$1.1K

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

Edwards Health Care Services, Inc. — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	10	19,530	$220	$4.3M
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	18,970	$160	$3M
E0784	External ambulatory infusion pump, insulin	2	10	5,940	$310	$1.8M
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	2	10	10,870	$30	$322.5K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	5	10	370	$70	$147.9K
A4224	Supplies for maintenance of insulin infusion catheter, per week	1	10	5,470	$20	$99.5K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	10	5,130	$20	$98.7K
A4259	Lancets, per box of 100	6	10	980	$10	$10.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edwards Health Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$149.9M
Edwards Health Care Services, Inc.	KY	Durable Medical Equipment & Medical Supplies	$0	$81.9M
Edwards Health Care Services, Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$35.2M

Nearby Providers

Other providers in the same ZIP code as Edwards Health Care Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Medical Center	SC	Specialist	$0	$17.1M
Prisma Health University Medical Group	SC	Developmental - Behavioral Pediatrics Physician	$0	$16M
Agapi Behavioral Consultants	SC	Behavior Analyst	$0	$15M
St Francis Hospital, Inc.	SC	General Acute Care Hospital	$0	$13M
Eastside Pediatric Dentistry PA	SC	Pediatric Dentistry	$0	$10M
Magnolia Medical Group Inc	SC	Physical Therapist	$0	$9.9M
Greenville Health Corporation	SC	Durable Medical Equipment & Medical Supplies	$0	$8.9M
D&s Community Services Sc, LLC	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M
Bloom Behavioral Therapy LLC	SC	Mental Health Counselor	$0	$7.5M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$6.4M

Edwards Health Care Services, Inc. — Billing Profile & Reimbursement Data

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Edwards Health Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References