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.

Anderson School District Five (NPI 1912970674)

Field	Value
Entity Type	Organization
Organization	Anderson School District Five
Address	400 Pearman Dairy Rd
City	Anderson
State	SC
ZIP	29625
Taxonomy	School Counselor
NPI Enumerated	February 10, 2006

Payer Source	Total Paid
Medicaid	$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.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	113,960	$30	$2.8M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	108,000	$10	$1.1M
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.	13,470	$50	$646.6K
T1015	Clinic visit/encounter, all-inclusive	102,610	$10	$615.7K
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…	5,170	$40	$222.2K
T1002	Rn services, up to 15 minutes	14,680	$10	$176.2K
S9152	Speech therapy, re-evaluation	2,310	$60	$138.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,390	$50	$112.3K
T1003	Lpn/lvn services, up to 15 minutes	4,100	$20	$69.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,620	$30	$45.4K

Showing 1–10 of 12

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

Anderson School District Five — 2 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	5	90	20,640	$30	$944.1K
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…	127	340	2,970	$80	$711.1K
T1002	Rn services, up to 15 minutes	24	100	5,080	$60	$611.2K
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.	62	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	14	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	8	80	27,100	$10	$473.8K
T1003	Lpn/lvn services, up to 15 minutes	11	40	1,440	$110	$417K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	149	290	2,600	$60	$414.4K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	97	110	290	$40	$84.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	22	50	1,200	$30	$77.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Anderson School District Five, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anderson County Disabilities And Special Needs Board	SC	Public Health or Welfare Agency	$0	$24.1M
Southwest Carolina Treatment Center, LLC	SC	Methadone Clinic	$174.1K	$3.1M
Anderson Oconee Behavioral Health Services	SC	Community/Behavioral Health Agency	$0	$2.4M
State Of South Carolina	SC	Public Health or Welfare Agency	$0	$1.8M
David Budhoo	SC	Internal Medicine Physician	$362.7K	$0
Ernest Martin	SC	Forensic Psychiatry Physician	$177.8K	$3.9K
Kyle Nelson	SC	Family Medicine Physician	$152.8K	$0
Jaclyn Petermann	SC	Occupational Therapist	$72.1K	$0
Michael Tran	SC	Psychiatry Physician	$23.7K	$0

Anderson School District Five — Billing Profile & Reimbursement Data

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Anderson School District Five — 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