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    v1.0.28
    OpenPayerNPI Medicare & MedicaidState Of South Carolina
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    State Of South Carolina — Billing Profile & Reimbursement Data

    NPI 1992862312 · Cayce, SC · Public Health or Welfare Agency

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    State Of South Carolina is a public health or welfare agency provider located in Cayce, South Carolina. This profile covers 0 Medicare and 9 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationState Of South Carolina
    Address400 Otarre Pkwy
    CityCayce
    StateSC
    ZIP29033
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V5060Hearing aid, monaural, behind the ear3,000$800$2.4M
    V5264Ear mold/insert, not disposable, any type6,180$50$321.4K
    V5014Repair/modification of a hearing aid820$90$70.1K
    V5266Battery for use in hearing device5,790$10$69.4K
    L9900Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code260$90$24.6K
    V5261Hearing aid, digital, binaural, bte30$670$18K
    V5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specified460$40$17.9K
    L8624Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each50$380$17K
    L8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each120$130$16K

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V5060Hearing aid, monaural, behind the ear1103,000$800$2.4M
    V5264Ear mold/insert, not disposable, any type1103,150$50$164.3K
    V5266Battery for use in hearing device1105,790$10$71.5K
    V5014Repair/modification of a hearing aid110820$90$69.9K
    L9900Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code110260$90$24.6K
    V5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specified110460$40$18.1K
    V5261Hearing aid, digital, binaural, bte11030$670$18K
    L8624Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each11050$380$17K
    L8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each110120$130$16K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of South CarolinaSCPublic Health or Welfare Agency$0$10.4M
    State Of South CarolinaSCClinical Medical Laboratory$0$9.1M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$2.5M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$1.8M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$1.6M

    Nearby Providers

    Other providers in the same ZIP code as State Of South Carolina, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helping Hands Adult Day Services, IncSCAdult Day Care Clinic/Center$0$8.2M
    The Arc Of South CarolinaSCCase Management Agency$0$7.8M
    Hope Bridge AdcSCAdult Day Care Clinic/Center$0$6.8M
    Mental Health America Of South CarolinaSCAdult Mental Health Clinic/Center$0$6.7M
    Growing Home SeSCCommunity/Behavioral Health Agency$0$5.5M
    First Priority IncSCLand Ambulance$3.1M$1.4M
    Helping Hands Adult Day Services, Inc.SCAdult Day Care Clinic/Center$0$2.6M
    Todays Dental LLCSCDentist$0$2.2M
    Beacon Respiratory Services Of Georgia Inc.SCOxygen Equipment & Supplies (DME)$0$1.8M
    Renee AltmanSCPodiatrist$112.6K$0

    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.

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    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
    State Of South Carolina — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina