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NPI 1093980757 · Aiken, SC · Internal Medicine Physician
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Thomas Mccullough is a internal medicine physician provider located in Aiken, South Carolina. This profile covers 24 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Mccullough |
| Address | 410 University Pkwy Ste 2500 |
| City | Aiken |
| State | SC |
| ZIP | 29801 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | April 24, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $253.1K |
| Medicaid | $6.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,290 | $60 | $73.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 550 | $120 | $68.1K |
| 99214 | The 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… | 230 | $80 | $18.1K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 630 | $30 | $15.8K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 50 | $210 | $10.8K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 630 | $20 | $10.7K |
| G0444 | Annual depression screening, 5 to 15 minutes | 550 | $20 | $9.4K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 60 | $160 | $9.4K |
| 99204 | The provider sees a new 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 provider… | 90 | $100 | $9.3K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 130 | $50 | $6.2K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 3,143 | 7,860 | 160 | $80 | $23.2K |
| G0439 | 20 | 1,870 | 80 | $120 | $14.5K |
| 99308 | 190 | 390 | 120 | $50 | $12.9K |
| 99213 | 107 | 7,690 | 100 | $60 | $10.8K |
| 99305 | 60 | 120 | 40 | $100 | $6.8K |
| 99204 | 899 | 4,520 | 40 | $110 | $6.4K |
| 99496 | 31 | 300 | 20 | $190 | $5K |
| G0438 | 23 | 450 | 20 | $150 | $4K |
| 96116 | 10 | 10 | 50 | $60 | $3.5K |
| G0446 | 2 | 180 | 80 | $20 | $3.1K |
Showing 1–10 of 24
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 210 | $30 | $6.4K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 57 | 90 | 480 | $10 | $30.7K |
Other providers in the same ZIP code as Thomas Mccullough, ranked by combined Medicare and Medicaid revenue.
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