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.

Mcleod Medical Center-dillon (NPI 1598746141)

Field	Value
Entity Type	Organization
Organization	Mcleod Medical Center-dillon
Address	301 E Jackson St
City	Dillon
State	SC
ZIP	29536
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

193 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.	35,230	$50	$1.8M
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.	29,890	$60	$1.6M
0241U	N/A	10,170	$140	$1.4M
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.	29,870	$40	$1.2M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,630	$170	$627.5K
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…	5,340	$80	$448.3K
99281	The provider sees a patient for the lowest level emergency department visit.	3,900	$100	$405.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	10,540	$40	$400.4K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	16,260	$20	$373.9K
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.	4,310	$80	$331.6K

Showing 1–10 of 193

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

Mcleod Medical Center-dillon — 3 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

193 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…	125	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.	31	210	1,470	$60	$615K
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.	38	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.	30	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.	43	200	1,680	$50	$443.2K
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.	48	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…	52	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	42	110	1,880	$100	$414K
J7030	Infusion, normal saline solution , 1000 cc	35	70	2,620	$60	$337.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	30	150	2,500	$50	$324.9K

Showing 1–10 of 193

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mcleod Medical Center-dillon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$2.5M
Mcleod Physician Associates Ii	SC	Urgent Care Clinic/Center	$0	$2.3M
Mcleod Physician Associates Ii	SC	Pediatric Orthopaedic Surgery Physician	$0	$1.6M
Neerav Sheth	PA	Interventional Cardiology Physician	$525.9K	$0
Alexander Bustamante	VA	Cardiovascular Disease Physician	$476K	$0
Anil Om	SC	Interventional Cardiology Physician	$474.6K	$0
Prabal Guha	SC	Clinical Cardiac Electrophysiology Physician	$451.9K	$0
Brian Blair	SC	Sports Medicine (Orthopaedic Surgery) Physician	$333.7K	$0
Cyrus Kocherla	SC	Clinical Cardiac Electrophysiology Physician	$313.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mcleod Medical Center-dillon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$6.1M
Omni Physical Therapy Inc	SC	Physical Therapist	$0	$4.9M
Dillon Family Medicine, P.A.	SC	Family Medicine Physician	$0	$4M
Caresouth Carolina, Inc	SC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Comprehensive Dental Center Of South Carolina	SC	Clinic/Center	$0	$1.8M
Mcleod Physician Associates Ii	SC	Family Medicine Physician	$0	$1.8M
County Of Dillon	SC	Ambulance	$428K	$1.2M
James Wallace	SC	Internal Medicine Physician	$541.7K	$1.6K
Extreme Medical Transport Of The Carolinas LLC	SC	Land Ambulance	$366K	$60.9K
Olivia Miller	SC	Dermatology Physician	$291.8K	$0

Mcleod Medical Center-dillon — Billing Profile & Reimbursement Data

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Mcleod Medical Center-dillon — 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