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.

Georgetown Memorial Hospital (NPI 1982604021)

Key Findings

Field	Value
Entity Type	Organization
Organization	Georgetown Memorial Hospital
Address	606 Black River Rd
City	Georgetown
State	SC
ZIP	29440
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicaid	$27.6M
Medicare	$0

GEORGETOWN MEMORIAL HOSPITAL is effectively a single-payer Medicaid billing entity: Total Medicare revenue is none (no Medicare billing on file), while total Medicaid revenue is $27.6M, indicating Medicaid is the sole recorded public payer in these datasets. This payer concentration should frame any comparisons or contracting assumptions because there is no Medicare activity to diversify public-payer risk.

Revenue is highly concentrated in a few Medicaid procedures: the top 3 Medicaid codes by revenue account for 41.9% of this provider's total Medicaid revenue. Those top drivers are 36415 ($5M, 22.8%), 97110 ($2.4M, 10.7%), and 80053 ($1.8M, 8.3%), which together supply a large share of the hospital’s Medicaid receipts.

The code mix points to a hospital operation with heavy outpatient lab, physical therapy, emergency department, and infusion activity: very high volumes of 36415 (blood collection) and 80053 (comprehensive metabolic panel) show a robust lab throughput, while large counts for 97110 indicate a substantial therapeutic exercise/physical therapy service. Multiple infusion and drug-administration codes (96375, 96365, 96367, 96372) plus chemotherapy codes (96413, 96402) further indicate ongoing IV/infusion services and oncology drug administration as meaningful service lines.

GEORGETOWN MEMORIAL shows exceptional statewide standing for certain codes: 97110 is an extreme outlier, ranking #6 of 285 providers in-state (98th percentile), which suggests an unusually large PT/therapy footprint relative to peers. Similarly, 36415 ranks #20 of 713 providers in-state (97th percentile; notably above typical state volume), identifying the hospital as one of the state’s higher-volume sites for phlebotomy and specimen collection.

Emergency department E/M activity is consistently above typical state volumes but not dominant: 99283 ranks #30 of 341 (91th percentile), 99284 ranks #36 of 353 (90th percentile), 99282 ranks #13 of 138 (91th percentile), and 99285 ranks #50 of 199 (75th percentile). These ranks and percentiles indicate meaningful ED throughput across low-to-high acuity visits, supporting a steady ED case mix that contributes materially to Medicaid revenue but does not show a single-code monopoly.

Infusion and chemotherapy services are a discernible revenue stream with mixed competitive positioning: 96375 ($1.6M, 7.4%) ranks #15 of 111 (87th percentile) and 96365 ($641.9K, 2.9%) ranks #15 of 101 (86th percentile), reflecting typical to above-typical infusion volumes, while chemotherapy administration codes such as 96413 ($244.4K, 1.1%) rank #6 of 51 (90th percentile) and 96402 ($227.1K, 1.0%) rank #5 of 8 (43th percentile). Together these data show the hospital provides routine IV/infusion and some oncology drug services, with higher relative standing on some chemo administration measures and limited competition on others.

Laboratory and diagnostic surveillance testing are broad and significant across multiple test types: high-volume lab codes include 87070 (aerobic culture), 87426 (SARS–CoV–2 immunoassay, $312.7K, 1.4% — rank #11 of 236, 96th percentile; notably above typical state volume), 87491 (Chlamydia NAAT), 87804 (influenza immunoassay), 81025 (pregnancy test), and specialized molecular tests like 87481 (Candida NAAT). This breadth indicates the hospital operates sizeable clinical lab capabilities that support both routine and surveillance testing for the community.

The provider has a long NPI tenure consistent with an established acute-care hospital: NPI enumerated 2005-07-29 (~21 years ago). That duration supports interpreting the observed code mix and volumes as stable operational patterns rather than transient billing behavior.

Medicaid: Complete Services Breakdown

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

316 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	36,670	$140	$5M
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…	51,490	$50	$2.4M
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.	32,150	$60	$1.8M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	11,280	$150	$1.6M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	8,220	$180	$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.	34,860	$40	$1.4M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,950	$220	$1.1M
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.	26,110	$40	$992.3K
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.	11,610	$60	$719.6K
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.…	6,750	$100	$654.8K

Showing 1–10 of 316

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

Georgetown Memorial Hospital — 3 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

316 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	117	340	2,970	$80	$711.1K
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.	19	210	1,470	$60	$615K
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.	59	350	2,590	$70	$550.2K
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.	30	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.	36	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.	50	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.	13	140	2,520	$90	$415.3K
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…	6	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	29	110	1,880	$100	$414K
96402	In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.	5	10	480	$590	$407.5K

Showing 1–10 of 316

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services-wa	WA	General Acute Care Hospital	$0	$62.4M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Pediatrics Physician	$0	$6.8M
Providence Health & Services - Washington	WA	General Practice Physician	$0	$6M
Providence Health & Services-washington	WA	Pediatrics Physician	$0	$3.2M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$2.9M
Express Care Or PC	OR	General Practice Physician	$0	$2.4M
John Fitzharris	OR	Medical Oncology Physician	$672.6K	$0
Amir Mehrvarz Sarshekeh	WA	Hematology & Oncology Physician	$651.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgetown County Board Of Disabilities And Special Needs	SC	Developmentally Disabled Services Day Training Agency	$0	$13.8M
Es Pediatric Partners LLC	SC	Pediatrics Physician	$0	$13.2M
St. James Health And Wellness Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$5.3M
Georgetown County School District	SC	Local Education Agency (LEA)	$0	$5.3M
Active Sc Two, Inc.	SC	Adult Day Care Clinic/Center	$0	$2.1M
Bay Microsurgical Unit	SC	Ambulatory Surgical Clinic/Center	$1.8M	$113.9K
South Strand Oral & Maxillofacial Surgery	SC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
County Of Georgetown	SC	Ambulance	$450.4K	$1.1M
Catherine Doegg	SC	Ophthalmology Physician	$1.4M	$0
Richard Dechamplain	SC	Ophthalmology Physician	$498.3K	$0

Georgetown Memorial Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References