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.

Lakeside Family Center (NPI 1902177520)

Field	Value
Entity Type	Organization
Organization	Lakeside Family Center
Address	219 N Highway 52
City	Moncks Corner
State	SC
ZIP	29461
Taxonomy	Mental Health Counselor
NPI Enumerated	January 13, 2012

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In 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…	24,150	$110	$2.6M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1,670	$110	$177K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,130	$150	$165.4K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	40	$100	$3.7K
H0031	Mental health assessment, by non-physician	10	$80	$970

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

Lakeside Family Center — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0031	Mental health assessment, by non-physician	76	80	180	$150	$1.2M
90837	In 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…	19	650	800	$120	$413.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	50	240	260	$160	$257.9K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	122	150	220	$160	$192.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	28	320	60	$140	$52.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Berkeley Citizens Inc	SC	Early Intervention Provider Agency	$0	$27.1M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.6M
Berkeley County School District	SC	Local Education Agency (LEA)	$0	$12.7M
Berkeley County Ems	SC	Land Ambulance	$1.3M	$2.3M
Delta Pharmacy Inc	SC	Community/Retail Pharmacy	$46.1K	$1.9M
Vantage Speech & Language LLC	SC	Speech-Language Pathologist	$0	$1.6M
Jeffrey Santi	SC	Family Medicine Physician	$283.4K	$0
Jeremy Ackermann	SC	Family Medicine Physician	$282.9K	$0
John Flaugher	SC	Family Medicine Physician	$266.5K	$0
Nathan Averill	SC	Family Medicine Physician	$147.1K	$2.9K

Lakeside Family Center — Billing Profile & Reimbursement Data

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Lakeside Family Center — Billing Profile & Reimbursement Data

Sign up for Lakeside Family Center — 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