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.

Berkeley County School District (NPI 1639134760)

Field	Value
Entity Type	Organization
Organization	Berkeley County School District
Address	107 E Main St
City	Moncks Corner
State	SC
ZIP	29461
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 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…	209,800	$30	$5.5M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	233,990	$10	$2.1M
T1015	Clinic visit/encounter, all-inclusive	298,020	$10	$2.1M
T1002	Rn services, up to 15 minutes	74,910	$20	$1.2M
S9152	Speech therapy, re-evaluation	6,800	$60	$408.2K
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…	7,720	$50	$378K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	10,560	$30	$263.9K
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.	5,750	$40	$235.6K
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…	5,290	$40	$232.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	550	$150	$80.7K

Showing 1–10 of 21

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

Berkeley County School District — 7 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0031	Mental health assessment, by non-physician	56	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…	2	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…	99	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…	81	210	320	$130	$707.4K
T1002	Rn services, up to 15 minutes	2	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.	113	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	4	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	4	80	27,100	$10	$473.8K
T1003	Lpn/lvn services, up to 15 minutes	17	40	1,440	$110	$417K
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…	206	290	2,600	$60	$414.4K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Berkeley County School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Berkeley Citizens Inc	SC	Early Intervention Provider Agency	$0	$27.1M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.6M
Berkeley County Ems	SC	Land Ambulance	$1.3M	$2.3M
Lakeside Family Center	SC	Mental Health Counselor	$0	$2.9M
Delta Pharmacy Inc	SC	Community/Retail Pharmacy	$46.1K	$1.9M
Vantage Speech & Language LLC	SC	Speech-Language Pathologist	$0	$1.6M
Jeffrey Santi	SC	Family Medicine Physician	$283.4K	$0
Jeremy Ackermann	SC	Family Medicine Physician	$282.9K	$0
John Flaugher	SC	Family Medicine Physician	$266.5K	$0
Nathan Averill	SC	Family Medicine Physician	$147.1K	$2.9K

Berkeley County School District — Billing Profile & Reimbursement Data

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Berkeley County School District — 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