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.

Palmetto Seating And Mobility, Inc. (NPI 1902829500)

Field	Value
Entity Type	Organization
Organization	Palmetto Seating And Mobility, Inc.
Address	780 Tillotson Rd.
City	Anderson
State	SC
ZIP	29621
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicaid	$44.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-focused DME supplier, reporting $44.7M in lifetime Medicaid revenue. Its enrollment history shows an NPI enumerated on 2006-07-25 (~20 years ago), indicating long-standing participation in the program.

Revenue concentration is high: the precomputed top three Medicaid codes account for 44.7% of the provider's Medicaid revenue, driven by B9998 ($7.7M; 18.5% of Medicaid revenue), E1399 ($6.4M; 15.4%), and B4035 ($4.5M; 10.7%). These three codes alone constitute nearly half of the $44.7M Medicaid footprint, signaling dependence on a small set of service lines.

Service-line mix is dominated by enteral nutrition and related supplies: high revenue and claim counts on B9998 (enteral supplies), B4035 (enteral feeding supply kit, pump fed), B4161 and B4149 (pediatric enteral formulas), plus a large number of related tubing, pump and kit codes (B9002, B4034). That pattern — multiple enteral formula and supply codes with substantial revenues — indicates the provider operates as a specialized enteral nutrition and consumables supplier, with ancillary DME activity.

E1399 (Durable medical equipment, miscellaneous) is a major high-dollar line item at $6.4M and 15.4% of Medicaid revenue with an average paid/claim of $4084 and 1.6K claims, ranking #2 of 6 providers in-state (80th percentile). This suggests the provider also bills relatively high-cost, lower-frequency DME items in addition to high-volume consumables, making E1399 an important non-enteral revenue driver.

The entity holds a dominant statewide position on numerous individual codes: it ranks #1 and at the 100th percentile for codes including B9998, A9999, B4149, B9002, B4034, B4088, T4530, T4521 and multiple others, with several of these described as "notably above typical" or "extreme outlier." Those rank positions indicate the provider is a leading supplier in South Carolina for multiple enteral and consumable product lines rather than a marginal participant.

Pediatric nutrition appears to be a specific specialty: B4161 ($4.4M; 10.5%) and B4149 ($3M; 7.3%) are substantial revenue contributors and are pediatric-specific formula codes, with B4149 ranked #1 of 6 providers in-state (100th percentile). The prominence of hydrolyzed/amino-acid and manufactured blenderized pediatric formulas signals focused servicing of complex pediatric enteral patients.

The provider exhibits a mixed utilization profile of high-frequency, low-unit-dollar supplies and lower-frequency, high-unit-dollar items: examples include B9998 with 25.9K claims at $298 avg paid/claim and B4035 with 14.7K claims at $304 avg paid/claim versus E1399 with 1.6K claims at $4084 avg paid/claim. This confirms an operational model that combines large-volume consumable distribution with selective high-value DME billing.

Several consumable and incontinence lines are statistical outliers in-state: T4533 (youth disposable incontinence product) is labeled an "extreme outlier, far above typical state volume" and ranks #1 of 17 with $483.6K (1.2%), while T4521 (adult brief, small) also ranks #1 of 14 and is an "extreme outlier" with $313.8K (0.8%). Those extreme outlier designations, together with high claim counts on items such as A4554 (20.3K claims, $730.8K), suggest the provider has captured unusually large share in disposable continence and related consumables within the state.

Medicaid: Complete Services Breakdown

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

89 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B9998	Noc for enteral supplies	25,860	$300	$7.7M
E1399	Durable medical equipment, miscellaneous	1,570	$4,080	$6.4M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14,680	$300	$4.5M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	6,920	$630	$4.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	12,700	$320	$4M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6,960	$430	$3M
B9002	Enteral nutrition infusion pump, any type	14,390	$100	$1.4M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8,570	$150	$1.3M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1,360	$700	$947.8K
S8189	Tracheostomy supply, not otherwise classified	1,380	$600	$835.3K

Showing 1–10 of 89

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

Palmetto Seating And Mobility, Inc. — 10 of 25 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1399	Durable medical equipment, miscellaneous	2	10	910	$1,620	$3.8M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	2	10	4,070	$520	$2.1M
B9998	Noc for enteral supplies	1	10	8,890	$190	$2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	2,840	$410	$1.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	20	920	$230	$1.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	1	10	410	$230	$1M
A4353	Intermittent urinary catheter, with insertion supplies	3	10	350	$600	$942K
S8189	Tracheostomy supply, not otherwise classified	2	10	1,380	$220	$726.4K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	870	$630	$641.9K
B9002	Enteral nutrition infusion pump, any type	1	10	1,040	$90	$393.1K

Showing 1–10 of 89

Nearby Providers

Other providers in the same ZIP code as Palmetto Seating And Mobility, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anmed Health	SC	General Acute Care Hospital	$0	$75.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.9M
Creston Dental-1, P.C.	SC	General Practice Dentistry	$0	$14.8M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$14.1M
Medshore Ambulance Service, LLC	SC	Ambulance	$6.4M	$7M
Bryant Pharmacy & Supply	SC	Durable Medical Equipment & Medical Supplies	$0	$11.4M
Labtech Diagnostic, LLC	SC	Clinical Medical Laboratory	$0	$10.7M
Anmed Health	SC	Pediatrics Physician	$0	$10.3M
Upstate Medical Staffing, Inc.	SC	In Home Supportive Care Agency	$0	$9.3M
Piedmont Childrens Clinic	SC	Pediatrics Physician	$0	$6.1M

Palmetto Seating And Mobility, Inc. — Billing Profile & Reimbursement Data

Sign up for Palmetto Seating And Mobility, Inc. — Billing Profile & Reimbursement Data policy alerts

Palmetto Seating And Mobility, Inc. — Billing Profile & Reimbursement Data

Sign up for Palmetto Seating And Mobility, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References