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    OpenPayerNPI Medicare & MedicaidCaresouth Carolina, Inc.
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    Caresouth Carolina, Inc. — Billing Profile & Reimbursement Data

    NPI 1720082571 · Hartsville, SC · Federally Qualified Health Center (FQHC)

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    Caresouth Carolina, Inc. is a federally qualified health center (fqhc) provider located in Hartsville, South Carolina. This profile covers 0 Medicare and 91 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
    OrganizationCaresouth Carolina, Inc.
    Address1268 S 4th St
    CityHartsville
    StateSC
    ZIP29550
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 9, 2005

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

    Payer SourceTotal Paid
    Medicaid$12.4M
    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.

    91 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…21,210$220$4.6M
    T1015Clinic visit/encounter, all-inclusive11,580$150$1.8M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.7,350$230$1.7M
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.4,200$240$1M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,510$240$837.7K
    99383The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.2,950$210$622.5K
    98941The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.1,140$220$253.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,040$210$218.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…4,310$50$206.8K
    99384The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.880$210$182.9K

    Showing 1–10 of 91

    • More pages

    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

    91 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90834In 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…83210320$130$707.4K
    T1015Clinic visit/encounter, all-inclusive953503,560$30$525.5K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…388650800$120$413.8K
    J7050Infusion, normal saline solution, 250 cc44501,140$100$309.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…188280600$90$299K
    90832In 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…96160270$70$268.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1232,770210$60$254.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.217710350$60$247.2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.921001,390$80$246.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4192,480350$80$246K

    Showing 1–10 of 91

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Caresouth Carolina, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caresouth Carolina IncSCFederally Qualified Health Center (FQHC)$0$7.3M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$4.4M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$3.2M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$2.3M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$2.3M
    Caresouth Carolina IncSCFederally Qualified Health Center (FQHC)$0$2.2M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$1.8M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$1.7M
    Caresouth Carolina IncSCFederally Qualified Health Center (FQHC)$0$1.7M
    Caresouth Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Caresouth Carolina, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hartsville, LLCSCGeneral Acute Care Hospital$0$18.4M
    App Of South Carolina Ed PLLCSCEmergency Medicine Physician$0$11M
    Darlington County Disabilities And Special Needs BoardSCCase Management Agency$0$9.7M
    Morphis Pediatric GroupSCPediatrics Physician$0$8M
    Childrens Group PCSCPediatrics Physician$0$7.1M
    Caring Hearts PediatricsSCSpecialist$0$5.5M
    Therapeutic Designs And ServicesSCOccupational Therapist$0$5.1M
    Hartsville Medical Group LLCSCInternal Medicine Physician$0$4.2M
    Black Creek Medical Consultants, LLCSCSleep Medicine (Otolaryngology) Physician$0$2.9M
    Starting Point Of Darlington, LLCSCSubstance Use Disorder Rehabilitation Clinic/Center$137.5K$2.3M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Caresouth Carolina, Inc. — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina