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 Care Services Of S.c. (NPI 1972147254)

Field	Value
Entity Type	Organization
Organization	Palmetto Care Services Of S.c.
Address	1335 Ronald Ln
City	Charleston
State	SC
ZIP	29412
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	October 30, 2019

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	21,980	$80	$1.7M
S5130	Homemaker service, nos; per 15 minutes	8,900	$20	$186.9K
T5999	Supply, not otherwise specified	130	$10	$1.3K
A4554	Disposable underpads, all sizes	30	$40	$1.1K

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 Care Services Of S.c. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	61	100	33,410	$70	$4.6M
S5130	Homemaker service, nos; per 15 minutes	57	80	27,870	$20	$816K
A4554	Disposable underpads, all sizes	101	110	2,350	$30	$207.9K
T5999	Supply, not otherwise specified	103	120	3,700	$10	$103.8K

Nearby Providers

Other providers in the same ZIP code as Palmetto Care Services Of S.c., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pelican Pediatrics LLC	SC	Pediatrics Physician	$0	$3.5M
For The Children (por Los Ninos), LLC	SC	Speech-Language Pathologist	$0	$2.5M
Richard Pierce	SC	Dermatology Physician	$483K	$0
Hugh Durrence	SC	Family Medicine Physician	$281.7K	$0
Kathy Bolus	SC	Internal Medicine Physician	$238.3K	$0
Shanon Honney	SC	Internal Medicine Physician	$131.9K	$0
Jared Mills	SC	Diagnostic Radiology Physician	$103.2K	$0
Gary Cianci	SC	Family Medicine Physician	$82.5K	$1.2K
Shannon Long	SC	Family Medicine Physician	$81.9K	$0
Thomas Perham	SC	Physical Therapist	$62.7K	$0

Palmetto Care Services Of S.c. — Billing Profile & Reimbursement Data

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Palmetto Care Services Of S.c. — 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