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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCaresouth Carolina Inc
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    Caresouth Carolina Inc — Billing Profile & Reimbursement Data

    NPI 1972980621 · Latta, SC · Federally Qualified Health Center (FQHC)

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    Caresouth Carolina Inc is a federally qualified health center (fqhc) provider located in Latta, South Carolina. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCaresouth Carolina Inc
    Address122 Latimer St
    CityLatta
    StateSC
    ZIP29565
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 1, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…5,290$230$1.2M
    T1015Clinic visit/encounter, all-inclusive3,360$170$580.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.4,110$60$225.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…930$200$182.6K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…330$50$16.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…170$30$5.6K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.670$10$4.7K
    98941The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.20$170$2.9K
    97802The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…60$30$1.9K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source70$30$1.8K

    Showing 1–10 of 35

    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.

    Full comparison — all codes billed, vs. South Carolina median

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1903503,560$30$525.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3602,770210$60$254.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.316710350$60$247.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…9172,480350$80$246K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.451601,480$30$126.4K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.306380660$30$90K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…112240280$50$78.4K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source6270370$30$52.1K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.241540350$20$52K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.279540240$10$35.8K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Caresouth Carolina Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caresouth Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$12.4M
    Caresouth Carolina IncSCFederally Qualified Health Center (FQHC)$0$7.3M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$4.4M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$3.2M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$2.3M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$2.3M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$1.8M
    Caresouth Carolina, IncSCFederally Qualified Health Center (FQHC)$0$1.7M
    Caresouth Carolina IncSCFederally Qualified Health Center (FQHC)$0$1.7M
    Caresouth Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Caresouth Carolina Inc — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina