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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPiedmont Medical Equipment
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    Piedmont Medical Equipment — Billing Profile & Reimbursement Data

    NPI 1710952247 · Rock Hill, SC · Oxygen Equipment & Supplies (DME)

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    Piedmont Medical Equipment is a oxygen equipment & supplies (dme) provider located in Rock Hill, South Carolina. This profile covers 0 Medicare and 21 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPiedmont Medical Equipment
    Address1213 Ebenezer Rd Ste 180
    CityRock Hill
    StateSC
    ZIP29732
    TaxonomyOxygen Equipment & Supplies (DME)
    NPI EnumeratedFebruary 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.8M
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate15,970$40$606.9K
    A7030Full face mask used with positive airway pressure device, each3,900$50$202.5K
    E0601Continuous positive airway pressure (CPAP) device7,090$30$184.4K
    A7031Face mask interface, replacement for full face mask, each4,730$30$151.3K
    E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing11,880$10$106.9K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap3,300$30$98.9K
    E0562Humidifier, heated, used with positive airway pressure device7,520$10$90.2K
    A7032Cushion for use on nasal mask interface, replacement only, each2,020$30$64.6K
    A7035Headgear used with positive airway pressure device4,330$10$47.6K
    A4604Tubing with integrated heating element for use with positive airway pressure device2,940$20$47K

    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.

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

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate5904,560$50$268.2K
    E0601Continuous positive airway pressure (CPAP) device7801,450$30$72.6K
    E0570Nebulizer, with compressor10801,180$30$70.2K
    A7030Full face mask used with positive airway pressure device, each360470$50$50.9K
    E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing5803,860$10$45.1K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress3050370$40$36.7K
    A4604Tubing with integrated heating element for use with positive airway pressure device9401,330$20$32.6K
    A7031Face mask interface, replacement for full face mask, each260570$30$31.5K
    E0562Humidifier, heated, used with positive airway pressure device360380$30$26.9K
    K0001Standard wheelchair1770620$20$26.1K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amisub Of South Carolina, Inc.SCGeneral Acute Care Hospital$0$34.5M
    New Horizons HomecareSCCommunity Based Hospice Care Agency$0$14.6M
    Tri-county Pediatrics LLCSCPediatrics Physician$0$13.8M
    Carolinas Physicians Network IncSCPediatrics Physician$0$8.5M
    A Mother's Choice Home Healthcare Agency LLCSCIn Home Supportive Care Agency$0$6.9M
    Right Steps LLCSCSpeech-Language Pathologist$0$5.3M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$3.7M
    Family Dental LLCSCGeneral Practice Dentistry$0$3.5M
    Rock Hill Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$1.3M$1.7M

    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
    Piedmont Medical Equipment — 10 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina