Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarren Sidney
    Ask Trek AI about this page

    Darren Sidney — Billing Profile & Reimbursement Data

    NPI 1073600540 · North Charleston, SC · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Darren Sidney — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Darren Sidney is a cardiovascular disease physician provider located in North Charleston, South Carolina. This profile covers 46 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDarren Sidney
    Address9221 University Blvd
    CityNorth Charleston
    StateSC
    ZIP29406
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 6, 2006

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

    Payer SourceTotal Paid
    Medicare$577.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…80$720$57.2K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…100$590$55.9K
    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…450$90$41.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…300$130$37.5K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…50$690$34.5K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…210$160$33.6K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…510$60$29.5K
    93295In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…1,090$30$28.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…170$130$22.1K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…990$20$20.7K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3326421010$2,420$33.8K
    9365634040$700$33.1K
    33285124020$910$25.5K
    3334033040$550$25.3K
    992141,6547,860160$80$23.2K
    3324913020$670$13.4K
    992328422,78090$60$12K
    9365342020$630$11.9K
    3320896030$370$11.5K
    9365543040$230$11.3K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical Associates Of The Medical University Of South CarolSCFamily Medicine Physician$0$56.6M
    Musc Community PhysiciansSCInternal Medicine Physician$0$16.7M
    University Medical AssociatesSCPediatrics Physician$0$9.2M
    University Medical Associates Of The Medical University Of South CarolSCObstetrics & Gynecology Physician$0$6.1M
    Musc Community PhysiciansSCFamily Medicine Physician$0$5.6M
    University Medical Associates Of The Medical University Of South CarolSCDiagnostic Radiology Physician$0$5.4M
    Coastal Carolina Multispecialty Associates, LLCSCSpecialist$0$4.1M
    University Medical Associates Of The Medical University Of South CarolSCEmergency Medicine Physician$0$3.6M
    University Medical Associates Of The Medical University Of South CarolSCPediatrics Physician$0$3.5M
    Edward McclayCAMedical Oncology Physician$3.4M$0

    Nearby Providers

    Other providers in the same ZIP code as Darren Sidney, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$55.8M
    Sweetgrass PediatricsSCPediatrics Physician$0$37.1M
    Trident Ambulatory Surgery Center, L.P.SCAmbulatory Surgical Clinic/Center$1M$10.9M
    Palmetto Pediatrics, PASCPediatrics Physician$0$9M
    Taylor Consultants, LLCSCCase Manager/Care Coordinator$0$7.5M
    Charleston Children's Therapy Center, LLCSCPediatric Physical Therapist$0$5.7M
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$4.1M
    Med-trans CorporationSCAir Ambulance$292K$3.6M
    Oral Surgery Of South Carolina LLCSCOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Crossroads Treatment Center Of Charleston, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$153.1K$3.2M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Darren Sidney — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina