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.

Newberry County Memorial Hospital (NPI 1891219887)

Field	Value
Entity Type	Organization
Organization	Newberry County Memorial Hospital
Address	2669 Kinard St
City	Newberry
State	SC
ZIP	29108
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 1, 2017

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	15,840	$80	$1.3M
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.	19,040	$50	$856.7K
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.	4,740	$110	$506.8K

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

Newberry County Memorial Hospital — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	58	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.	56	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.	67	200	1,680	$50	$443.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Newberry County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newberry County Memorial Hospital	SC	General Acute Care Hospital	$0	$8.1M
Alan Paysinger	SC	Internal Medicine Physician	$169K	$0

Nearby Providers

Other providers in the same ZIP code as Newberry County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newberry County Disabilities And Special Needs Board	SC	Public Health or Welfare Agency	$0	$9.5M
Newberry County School District	SC	Speech-Language Pathologist	$0	$3.2M
Newberry Ob Gyn, P.A.	SC	Obstetrics & Gynecology Physician	$0	$1.7M
Newberry County Ems	SC	Land Ambulance	$468.5K	$758.5K
Mark Ezekiel	SC	Radiation Oncology Physician	$1.2M	$0
Mathew Whitaker	SC	Physical Therapist	$253.7K	$0
Mark Waldrop	SC	Geriatric Physical Therapist	$217.2K	$0
Wayne Harsha	SC	Otolaryngology Physician	$56.4K	$0
Ilya Averbuch	SC	Anesthesiology Physician	$10.6K	$16.7K

Newberry County Memorial Hospital — Billing Profile & Reimbursement Data

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Newberry County Memorial Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References