Medicare Revenue Report Card 2026
South Carolina
19K Medicare providers analyzed
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I just reviewed the 2026 Medicare Revenue Report Card for South Carolina. Key findings: - Overall Grade: F - Estimated Missed Revenue: $620K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full South Carolina report card:
https://npixray.com/reports/states/south-carolina
Total Providers
19K
in South Carolina
Total Medicare Payment
$1708.0M
Avg Payment / Provider
$90K
Est. Missed Revenue
$620K
across all providers
Care Management Program Adoption
How South Carolina providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
South Carolina Trend Signals
Revenue per Provider
$90,165
+13.1% vs benchmark · national avg $79,744
Provider Market Share
1.6% of US
-19.4% vs benchmark · 18,943 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How South Carolina providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in South Carolina
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,274 | $42K |
| Physician Assistant | 1,565 | $35K |
| Family Practice | 1,454 | $85K |
| Physical Therapist in Private Practice | 1,190 | $57K |
| Internal Medicine | 1,157 | $95K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,002 | $10K |
| Emergency Medicine | 886 | $51K |
| Chiropractic | 541 | $17K |
| Mass Immunizer Roster Biller | 530 | $62K |
| Anesthesiology | 517 | $38K |
| Optometry | 417 | $34K |
| Obstetrics & Gynecology | 359 | $20K |
| Diagnostic Radiology | 357 | $113K |
| Orthopedic Surgery | 338 | $144K |
| General Surgery | 308 | $43K |
| Psychiatry | 295 | $23K |
| Hospitalist | 279 | $53K |
| Cardiology | 249 | $231K |
| Ophthalmology | 248 | $601K |
| Occupational Therapist in Private Practice | 205 | $39K |
City Report Cards in South Carolina
Greenville
Charleston
Columbia
Spartanburg
Myrtle Beach
Florence
West Columbia
Anderson
Rock Hill
Greenwood
Summerville
North Charleston
Lexington
Sumter
Mt Pleasant
Aiken
Conway
Greer
Mount Pleasant
Simpsonville
Top 20 Providers in South Carolina
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Eric JablonM.D. | 1,454 | $8.9M |
| Medshore Ambulance Service, Llc | 9,909 | $6.4M |
| Robert PrinziMD | 1,168 | $5.7M |
| Medtrust Medical Transport, Llc | 9,996 | $5.3M |
| Stephen PhillipsM.D. | 801 | $5.0M |
| John KerrisonM.D. | 1,219 | $5.0M |
| Derek BarkerM.D. | 1,528 | $4.7M |
| Prisma Health-Upstate | 7,218 | $4.5M |
| County Of Greenville | 6,392 | $4.2M |
| Charleston County Government | 6,330 | $4.1M |
| Nicholas MarchaseM.D. | 702 | $4.1M |
| John PayneMD | 768 | $4.0M |
| Steven MaddenMD | 866 | $4.0M |
| Horry County Government | 6,741 | $4.0M |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | 1,360 | $4.0M |
| County Council For Richland County | 5,589 | $4.0M |
| John WellsMD | 885 | $3.9M |
| Physicians Eye Surgery Center Llc | 1,569 | $3.9M |
| Stephen ParksMD | 293 | $3.9M |
| Charles ButlerM.D. | 854 | $3.8M |
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