South Carolina Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
South Carolina has 19K Medicare providers who collectively received $1708.0M in Medicare payments, averaging $90K per provider. South Carolina providers earn moderate Medicare revenue per provider, with significant opportunity to capture additional revenue through program enrollment and coding optimization.
The most common specialty is Nurse Practitioner with 3,274 providers, followed by Physician Assistant (1,565) and Family Practice (1,454). Nurse Practitioner providers in South Carolina average $42K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Greenville (2,847 providers), with Charleston and Columbia also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
19K
in South Carolina
Total Medicare Payment
$1708.0M
Avg Payment / Provider
$90K
Total Services
50.6M
South Carolina Performance 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
3.4%
-69.7% vs benchmark · national 11.3%
RPM Adoption
0.7%
-88.5% vs benchmark · national 6.5%
AWV Completion
10.0%
-42.7% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How South Carolina Compares
vs Neighboring States
Top Revenue Opportunities in South Carolina
Chronic Care Management (99490)
Only 3.4% of providers bill CCM vs 11.3% national average. 1,487 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.7% vs 6.5% nationally. 1,084 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.0% trails the 17.5% national average. 1,414 additional providers could offer AWV services.
Market Opportunities by Specialty
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 |
Top Cities in South Carolina
Greenville
Charleston
Columbia
Spartanburg
Myrtle Beach
Florence
West Columbia
Anderson
Rock Hill
Greenwood
Summerville
North Charleston
Lexington
Sumter
Aiken
Mt Pleasant
Conway
Greer
Mount Pleasant
Simpsonville
Beaufort
Seneca
Bluffton
Easley
Murrells Inlet
Orangeburg
Little River
Fort Mill
Hilton Head Island
Lancaster
Top 50 Providers in South Carolina
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