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NPI 1699756221 · Florence, SC · General Acute Care Hospital
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Mcleod Regional Medical Center Of The Pee Dee, Inc. is a general acute care hospital provider located in Florence, South Carolina. This profile covers 0 Medicare and 520 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mcleod Regional Medical Center Of The Pee Dee, Inc. |
| Address | 555 E Cheves St |
| City | Florence |
| State | SC |
| ZIP | 29506 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | November 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $90.9M |
| Medicare | $0 |
Revenue concentration is highly focused in a few Medicaid line items: the precomputed top three codes account for 48.0% of the provider's total Medicaid revenue, led by 36415 ($16.7M, 25.6% of Medicaid revenue), followed by 96372 ($9.1M, 14.0%) and Q9967 ($5.4M, 8.4%). This indicates that a small set of procedural services is driving nearly half of the $90.9M in Medicaid receipts.
This provider is effectively single‑payer at scale for the dataset provided: there is no Medicare billing on file while Medicaid revenue totals $90.9M, so analyses of payer mix and service-line concentration should be interpreted in a Medicaid-centric context. The absence of Medicare activity means benchmarking against Medicare peers is not applicable for this entity.
The code mix signals a large laboratory and specimen-collection operation: 36415 appears as the top Medicaid revenue code with 150.1K claims and $16.7M revenue, and related lab panels such as 80053 (71.4K claims, $1.2M) and 80048 (59.3K claims, $889.4K) also rank highly. High volumes of 36416 (24.7K claims, $1.2M) further support heavy phlebotomy and diagnostic testing throughput, consistent with a general acute care hospital running substantial inpatient and outpatient lab services.
Infusion, injection, and chemotherapy services are a clear business line for this provider: 96372 ($9.1M), 96367 ($4.2M), 96375 ($1.5M), 96365 ($1.4M), 96413 ($3.6M) and 96402 ($1.3M) collectively comprise material Medicaid revenue and claim volume. Several of these infusion-related codes are identified as extreme outliers or notably above typical state volume (for example, 96367 ranks #1 of 38 and is an extreme outlier), indicating an established infusion/oncology capability rather than occasional or incidental use.
Imaging and advanced radiology utilization is prominent: Q9967 (contrast material) generated $5.4M and ranks #4 in-state, while A9585 ($1.6M), A9552 ($1.3M) and MRI 70553 ($1.5M) also appear among top revenue codes. The presence of high-cost contrast and radionuclide codes alongside MRI suggests a robust radiology service line that contributes meaningfully to Medicaid revenue.
Emergency department throughput contributes significant Medicaid activity across acuity levels: 99284 (47.2K claims, $896.5K) and 99283 (32.3K claims, $1.3M) show large claim volumes, and the mix of 99281–99284 entries indicates sustained ED patient flow. While some ED codes are described as typical or unremarkable statewide volume, the absolute claim counts show the ED is a consistent source of visits and associated ancillary services billed to Medicaid.
Statewide competitive standing is strong in multiple service lines: the provider ranks at or near the top for many high-volume codes (examples include 36415 at #2 of 713 and labeled an extreme outlier, 96367 #1 of 38 extreme outlier, 96375 #1 of 111 extreme outlier, 36416 #1 of 70 extreme outlier, and 0241U #1 of 54 notably above typical). These rank/percentile placements indicate the hospital is a dominant Medicaid provider in the state for phlebotomy, infusion services, and certain specialty tests.
The provider has an established operating history with NPI enumeration on 2005-11-10 (~21 years ago), and the combination of $90.9M in Medicaid revenue plus concentrated high-volume codes across lab, infusion/oncology, imaging, and ED lines points to an operationally mature regional acute care facility with significant Medicaid-dependent activity. Analysts should treat this entity as a long-tenured, Medicaid-focused hospital when modeling regional capacity or competitive dynamics.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
520 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. | 150,050 | $110 | $16.7M |
| 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… | 27,680 | $330 | $9.1M |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 19,650 | $280 | $5.4M |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 8,510 | $500 | $4.2M |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 13,190 | $270 | $3.6M |
| 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… | 50,310 | $40 | $2.2M |
| 59025 | In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements. | 16,010 | $110 | $1.7M |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 13,290 | $130 | $1.7M |
| A9585 | Injection, gadobutrol, 0.1 ml | 3,190 | $520 | $1.6M |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 2,290 | $670 | $1.5M |
Showing 1–10 of 520
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
520 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90378 | Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial… | 2 | 10 | 340 | $1,490 | $1.1M |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2 | 20 | 350 | $1,170 | $776.4K |
| 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… | 41 | 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. | 4 | 210 | 1,470 | $60 | $615K |
| 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. | 40 | 350 | 2,590 | $70 | $550.2K |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 7 | 10 | 300 | $440 | $498K |
| 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. | 33 | 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. | 11 | 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. | 9 | 200 | 1,680 | $50 | $443.2K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 9 | 60 | 170 | $430 | $434.9K |
Showing 1–10 of 520
Other providers in the same ZIP code as Mcleod Regional Medical Center Of The Pee Dee, Inc., ranked by combined Medicare and Medicaid revenue.
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