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    Thomas Todoran — Billing Profile & Reimbursement Data

    NPI 1104945955 · Pawleys Island, SC · Interventional Cardiology Physician

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    Thomas Todoran is a interventional cardiology physician provider located in Pawleys Island, South Carolina. This profile covers 16 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)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Todoran
    Address9653 Ocean Hwy
    CityPawleys Island
    StateSC
    ZIP29585
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMarch 29, 2007

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

    Payer SourceTotal Paid
    Medicare$82.6K
    Medicaid$100

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…220$80$18.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,930$10$11.6K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$190$8.5K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…20$420$8K
    99204The 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…60$110$6.2K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…20$240$5.9K
    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…40$120$4.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$90$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…20$130$3.1K
    93451In this procedure, the provider gains percutaneous venous access through the internal jugular, subclavian, or femoral vein under fluoroscopic guidance. He obtains oxygen saturation measurements that…30$90$2.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,2287,860160$80$23.2K
    929287810030$380$13K
    992136,2447,690100$60$10.8K
    992331,1841,77080$90$10.7K
    934588516050$180$9.9K
    992151,1582,36040$120$9.3K
    992231,4432,08040$130$8.3K
    992041,5984,52040$110$6.4K
    992057161,00030$150$5.8K
    9346085020$260$4.7K

    Showing 1–10 of 16

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.20$10$100

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.137160160$1$21.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Georgetown Memorial HospitalSCGeneral Acute Care Hospital$0$27.6M
    Waccamaw Community HospitalSCGeneral Acute Care Hospital$0$9.7M
    Michael MccaffreySCNeurology Physician$723.1K$0
    Channing WilloughbySCPain Medicine Physician$680.8K$0
    Michael BohanSCOrthopaedic Surgery Physician$595.9K$0
    Elizabeth SnoderlySCPain Medicine (Anesthesiology) Physician$531.3K$0
    Brett MilfordFLInterventional Cardiology Physician$478.2K$0
    Nitesh AinaniSCInterventional Cardiology Physician$396.8K$0
    Steven BairdSCInternal Medicine Physician$368.4K$0
    Thomas ChandlerSCPulmonary Disease Physician$362.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pawleys Island Pediatric DentistrySCPediatric Dentistry$0$3.1M
    Georgetown Internists And Pediatricians IncSCPediatrics Physician$0$1.6M
    Alicia FoxworthSCFamily Nurse Practitioner$1.2M$0
    County Of GeorgetownSCAmbulance$465.1K$32.1K
    Crystal FranklinSCOptometrist$49.1K$445.4K
    George KeoughSCDermatology Physician$370K$0
    Victor Diaz-gonzalezSCInterventional Cardiology Physician$288K$110
    Patricia GrantSCPain Medicine (Anesthesiology) Physician$266K$0
    Brian KinmartinSCPhysical Therapist$263.1K$0
    Jacqueline SennottSCCardiovascular Disease Physician$259.9K$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.

    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
    Thomas Todoran — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Thomas Todoran — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina