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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHawthorne Medical Equipment, Inc.
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    Hawthorne Medical Equipment, Inc. — Billing Profile & Reimbursement Data

    NPI 1639149727 · Columbia, SC · Durable Medical Equipment & Medical Supplies

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    Hawthorne Medical Equipment, Inc. is a durable medical equipment & medical supplies provider located in Columbia, South Carolina. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHawthorne Medical Equipment, Inc.
    Address1520 Taylor St # A
    CityColumbia
    StateSC
    ZIP29201
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJanuary 23, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4554Disposable underpads, all sizes19,390$30$639.8K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each4,810$70$326.9K
    T5999Supply, not otherwise specified34,350$10$309.1K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each5,980$50$305.1K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each5,150$50$252.1K
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each2,290$110$251.9K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1,450$130$182.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each5,780$30$173.5K
    T2028Specialized supply, not otherwise specified, waiver830$200$162.9K
    X1939N/A2,370$60$139.7K

    Showing 1–10 of 32

    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.

    Full comparison — all codes billed, vs. South Carolina median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each12301,650$100$252.5K
    A4554Disposable underpads, all sizes111102,350$30$207.9K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each1340840$130$193.5K
    X1939N/A27701,410$60$179.9K
    T2028Specialized supply, not otherwise specified, waiver1330760$110$150K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each12701,160$70$143.6K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each12801,260$50$130.8K
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each810130$110$129.9K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each8701,020$50$109K
    T5999Supply, not otherwise specified121203,700$10$103.8K

    Showing 1–10 of 32

    Nearby Providers

    Other providers in the same ZIP code as Hawthorne Medical Equipment, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Care, PASCFamily Medicine Physician$0$50.7M
    Robertson Optical Laboratories IncSCEyewear Supplier$0$13.5M
    Dhec Hemophilia-cshcn ProgramSCPharmacy$0$13.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$12.1M
    Pruitthealth Hospice, Inc.SCInpatient Hospice$0$11.8M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$11.8M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$10.4M
    South Carolina Dept Of Mental Health Accounting OfficeSCCommunity/Behavioral Health Agency$0$8.8M
    Palladium Hospice And Palliative Care, LLCSCCommunity Based Hospice Care Agency$0$8.2M
    Lutheran Family Services In The CarolinasSCCommunity/Behavioral Health Agency$0$7.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Hawthorne Medical Equipment, Inc. — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina