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.

Professional Pharmacy Services Inc (NPI 1801862362)

Field	Value
Entity Type	Organization
Organization	Professional Pharmacy Services Inc
Address	209 S Griffin St Ste B
City	Florence
State	SC
ZIP	29506
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	2,240	$440	$973.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	4,960	$70	$327.1K
E0601	Continuous positive airway pressure (CPAP) device	3,670	$30	$99.1K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	3,840	$10	$53.8K
E0570	Nebulizer, with compressor	2,080	$20	$37.4K
K0001	Standard wheelchair	1,690	$20	$33.8K
A7037	Tubing used with positive airway pressure device	1,180	$10	$11.8K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	320	$40	$11.7K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	60	$190	$10.7K
A7031	Face mask interface, replacement for full face mask, each	510	$20	$10.7K

Showing 1–10 of 24

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

Professional Pharmacy Services Inc — 1 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	7	20	530	$490	$707.8K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8	10	1,260	$100	$304.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	41	90	4,560	$50	$268.2K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	13	20	110	$130	$187.8K
A7000	Canister, disposable, used with suction pump, each	8	10	1,510	$50	$146.1K
E0619	Apnea monitor, with recording feature	3	10	720	$200	$109K
E0601	Continuous positive airway pressure (CPAP) device	17	80	1,450	$30	$72.6K
E0570	Nebulizer, with compressor	27	80	1,180	$30	$70.2K
A7030	Full face mask used with positive airway pressure device, each	47	60	470	$50	$50.9K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	39	80	3,860	$10	$45.1K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Professional Pharmacy Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Regional Medical Center Of The Pee Dee, Inc.	SC	General Acute Care Hospital	$0	$90.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
Florence County Disabilities And Special Needs Board	SC	Early Intervention Provider Agency	$0	$28.3M
Mcleod Physician Associates Ii	SC	Pediatrics Physician	$0	$13.1M
Mcleod Regional Medical Center Of The Pee Dee, Inc	SC	Emergency Medical Services (Emergency Medicine) Physician	$0	$12.7M
Allergy Asthma Sinus Ctr	SC	Allergy & Immunology Physician	$0	$8.2M
County Of Florence	SC	Land Ambulance	$2M	$4.5M
Mcleod Physician Associates Ii	SC	Obstetrics & Gynecology Physician	$0	$6.4M
Florence School District One	SC	Local Education Agency (LEA)	$0	$6.3M
Tucker-wells Medical, Inc.	SC	Durable Medical Equipment & Medical Supplies	$0	$5.8M

Professional Pharmacy Services Inc — Billing Profile & Reimbursement Data

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Professional Pharmacy Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References