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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLawrence Mcgee
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    Lawrence Mcgee — Billing Profile & Reimbursement Data

    NPI 1124008644 · Spartanburg, SC · Nephrology Physician

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    Lawrence Mcgee is a nephrology physician provider located in Spartanburg, South Carolina. This profile covers 7 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLawrence Mcgee
    Address322 N Pine St
    CitySpartanburg
    StateSC
    ZIP29302
    TaxonomyNephrology Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$295.2K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…860$260$223.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…210$220$44.7K
    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…210$90$18.7K
    90970The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…390$10$2.8K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…20$150$2.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.9K
    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…10$80$1000

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    909601130180$270$53.7K
    992143,2997,860160$80$23.2K
    992322,2292,78090$60$12K
    90961113040$220$10.3K
    992044,2254,52040$110$6.4K
    9096271020$140$2.3K
    90970520180$10$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEGeneral Acute Care Hospital$0$142.6M
    MainehealthMECommunity/Behavioral Health Agency$0$115M
    MainehealthMEGeneral Acute Care Hospital$0$70.7M
    MainehealthMEGeneral Acute Care Hospital$0$40M
    MainehealthMEGeneral Acute Care Hospital$0$31.5M
    MainehealthMEGeneral Acute Care Hospital$0$22.7M
    MainehealthMERural Health Clinic/Center$0$16.7M
    MainehealthMEMulti-Specialty Clinic/Center$0$10.9M
    MainehealthMERural Health Clinic/Center$0$10M
    MainehealthMERural Health Clinic/Center$0$9.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hospice Care Of South Carolina, LLCSCCommunity Based Hospice Care Agency$0$57.7M
    South Carolina School For The Deaf And The BlindSCLocal Education Agency (LEA)$0$9.9M
    Carolina Pediatric DentistrySCDental Clinic/Center$0$5.7M
    Healing Solutions, LLCSCMarriage & Family Therapist$0$4.5M
    Legacy Healthcare Advantage LLCSCIn Home Supportive Care Agency$0$3.9M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$3.9M
    Spartanburg Medical CenterSCHome Health Agency$0$3.7M
    Wiregrass Hospice Of South Carolina, LLCSCCommunity Based Hospice Care Agency$0$3.5M
    Palmetto Early Intervention ServiceSCEarly Intervention Provider Agency$0$2.5M
    Modern Wellness Family Counseling, LLCSCMarriage & Family Therapist$0$2.5M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Lawrence Mcgee — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina