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.

Hopereach (NPI 1720341084)

Field	Value
Entity Type	Organization
Organization	Hopereach
Address	751 E Georgia Rd
City	Woodruff
State	SC
ZIP	29388
Taxonomy	Behavior Analyst
NPI Enumerated	June 21, 2012

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	11,210	$70	$773.6K
T2020	Day habilitation, waiver; per diem	10,290	$50	$462.9K
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.	3,170	$80	$243.9K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,760	$80	$147.8K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	1,120	$50	$50.4K
H2026	Ongoing support to maintain employment, per diem	1,160	$40	$44K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	400	$70	$26.5K
0360T	Insertion of drug-eluting implant (including punctal dilation and implant removal when performed) into lacrimal canaliculus, each	1,250	$20	$18.7K
0365T	Adaptive behavior tx addl	320	$60	$18.4K
0364T	Behavior treatment	320	$10	$2.6K

Showing 1–10 of 13

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

Hopereach — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2020	Day habilitation, waiver; per diem	30	40	18,120	$70	$1.8M
H2026	Ongoing support to maintain employment, per diem	28	30	10,980	$70	$939.8K
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…	72	340	2,970	$80	$711.1K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	11	20	1,560	$150	$708.5K
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.	153	350	2,590	$70	$550.2K
0365T	Adaptive behavior tx addl	11	10	1,600	$70	$446.9K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	10	20	350	$130	$178.9K
0369T	Duodenal mucosal resurfacing, endoscopic	10	10	130	$100	$119.2K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	4	10	1,090	$100	$113.8K
0364T	Behavior treatment	11	10	1,620	$10	$77.3K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Younger	SC	Optometrist	$34.5K	$0

Hopereach — Billing Profile & Reimbursement Data

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Hopereach — Billing Profile & Reimbursement Data

Sign up for Hopereach — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References