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.

Coastal Carolina Medical Center, Inc. (NPI 1962472431)

Field	Value
Entity Type	Organization
Organization	Coastal Carolina Medical Center, Inc.
Address	1000 Medical Center Dr
City	Hardeeville
State	SC
ZIP	29927
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

121 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	12,350	$120	$1.5M
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.	18,930	$50	$851.9K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	2,540	$220	$556.5K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	8,850	$60	$486.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,070	$110	$431.7K
J3490	Unclassified drugs	3,960	$90	$348.3K
J8499	Prescription drug, oral, non chemotherapeutic, nos	6,680	$50	$340.7K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	2,770	$120	$318.3K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	2,790	$100	$290.5K
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.	11,830	$20	$189.3K

Showing 1–10 of 121

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

Coastal Carolina Medical Center, Inc. — 0 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

121 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	54	210	1,470	$60	$615K
J8499	Prescription drug, oral, non chemotherapeutic, nos	2	10	940	$50	$475.5K
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.	59	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.	70	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.	61	200	1,680	$50	$443.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	51	140	2,520	$90	$415.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	75	110	1,880	$100	$414K
J7030	Infusion, normal saline solution , 1000 cc	26	70	2,620	$60	$337.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	72	150	2,500	$50	$324.9K
J7050	Infusion, normal saline solution, 250 cc	13	50	1,140	$100	$309.2K

Showing 1–10 of 121

Nearby Providers

Other providers in the same ZIP code as Coastal Carolina Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Batson	SC	Interventional Pain Medicine Physician	$687K	$0
South Carolina Cvs Pharmacy LLC	SC	Pharmacy	$600.2K	$0
Thomas Beller	SC	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	$333.6K	$18.3K
Manuel Perez	SC	Urology Physician	$278.6K	$0
Rebecca Darroudi	SC	Physician Assistant	$151.5K	$0
Publix Super Markets Inc	SC	Community/Retail Pharmacy	$140.1K	$0
Wal-mart Stores East LP	SC	Community/Retail Pharmacy	$121.8K	$0
Ashley Sutherland	SC	Emergency Medicine Physician	$86.7K	$0
Ronald Collins	SC	Chiropractor	$80.3K	$0
Dean Moesch	SC	Diagnostic Radiology Physician	$70.4K	$0

Coastal Carolina Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Coastal Carolina Medical Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Coastal Carolina Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Coastal Carolina Medical Center, Inc. — 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