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.

Fort Mill School District #4 (NPI 1952473191)

Field	Value
Entity Type	Organization
Organization	Fort Mill School District #4
Address	120 E Elliott St
City	Fort Mill
State	SC
ZIP	29715
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	22,050	$50	$1.2M
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…	38,430	$20	$922.2K
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…	7,140	$120	$863.6K
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…	11,490	$40	$448.3K
T1015	Clinic visit/encounter, all-inclusive	59,820	$10	$358.9K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	43,960	$10	$351.7K
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.	6,670	$40	$280K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,340	$90	$212.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,250	$170	$210.2K
T1002	Rn services, up to 15 minutes	10,380	$20	$155.7K

Showing 1–10 of 19

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

Fort Mill School District #4 — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	11	10	2,400	$120	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	33	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	24	80	180	$150	$1.2M
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…	30	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…	71	340	2,970	$80	$711.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	39	210	320	$130	$707.4K
T1002	Rn services, up to 15 minutes	32	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.	100	350	2,590	$70	$550.2K
T1015	Clinic visit/encounter, all-inclusive	28	350	3,560	$30	$525.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	28	80	27,100	$10	$473.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Fort Mill School District #4, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Physicians Network Inc	SC	Pediatrics Physician	$0	$3M
Therapy World	SC	Occupational Therapist	$0	$2.2M
Barrett Little	SC	Orthopaedic Surgery Physician	$170.5K	$3.2K
Christopher Jones	SC	Otolaryngology Physician	$140.1K	$0
Sunitha Sequeira	SC	Otolaryngology Physician	$113K	$0
David Macknet	SC	Orthopaedic Surgery Physician	$86K	$0
Michael Roberts	SC	Physician Assistant	$82.7K	$0
Benjamin Sutker	SC	Orthopaedic Hand Surgery Physician	$80K	$0
South Carolina Cvs Pharmacy LLC	SD	Pharmacy	$76.9K	$0
Kevin Mccullough	SC	Physician Assistant	$35K	$0

Fort Mill School District #4 — Billing Profile & Reimbursement Data

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Fort Mill School District #4 — 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