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    OpenPayerNPI Medicare & MedicaidJoseph Papotto
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    Joseph Papotto — Billing Profile & Reimbursement Data

    NPI 1114970431 · Murrells Inlet, SC · Family Medicine Physician

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    Joseph Papotto is a family medicine physician provider located in Murrells Inlet, South Carolina. This profile covers 33 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
    OrganizationJoseph Papotto
    Address4835 Hwy 17 S Bypass Suite B
    CityMurrells Inlet
    StateSC
    ZIP29576
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$186K
    Medicaid$250

    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.

    33 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…730$80$58.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit390$120$47.9K
    99213The 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…830$50$43K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…30$140$4.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…120$40$4.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$3.7K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…110$30$3.3K
    G0008Administration of influenza virus vaccine110$30$3.1K
    82274The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…190$20$3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…20$120$2.6K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306383450230$80$23.9K
    992147907,860160$80$23.2K
    17000281300340$30$15K
    G0439841,87080$120$14.5K
    992132877,690100$60$10.8K
    9388024536060$80$8.2K
    2061061081070$50$7.3K
    992043,4724,52040$110$6.4K
    G00087222,33060$30$3.1K
    G04024435020$150$2.6K

    Showing 1–10 of 33

    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
    99213The 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…10$20$250

    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
    99213The 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…2,5542,770210$60$254.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian AdlerSCInternal Medicine Physician$296.8K$0
    Christopher FeathersSCSports Medicine (Internal Medicine) Physician$165.2K$0
    Katherine FreemanSCFamily Nurse Practitioner$99.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waccamaw Community HospitalSCGeneral Acute Care Hospital$0$9.7M
    Seaside Pediatric Dental AssociatesSCPediatric Dentistry$0$5.6M
    Inlet Pediatrics PASCPediatrics Physician$0$5.3M
    Murrells Inlet Asc LLCSCAmbulatory Surgical Clinic/Center$2.6M$0
    Carolina Ob-gyn LLCSCObstetrics & Gynecology Physician$0$2M
    James MontgomerySCGynecology Physician$1.9M$0
    Charles DoeringSCOphthalmology Physician$1.7M$0
    Jason RosenbergSCInterventional Pain Medicine Physician$880.6K$0
    Michael MccaffreySCNeurology Physician$723.1K$0
    Matthew DaviesSCPain Medicine (Physical Medicine & Rehabilitation) Physician$714.5K$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
    Joseph Papotto — 4 of 25 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
    Joseph Papotto — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina