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    OpenPayerNPI Medicare & MedicaidRobert Sullivan
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    Robert Sullivan — Billing Profile & Reimbursement Data

    NPI 1124198734 · Moncks Corner, SC · Orthopaedic Surgery Physician

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    Robert Sullivan is a orthopaedic surgery physician provider located in Moncks Corner, South Carolina. This profile covers 12 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
    OrganizationRobert Sullivan
    Address300 Callen Blvd Ste 330
    CityMoncks Corner
    StateSC
    ZIP29461
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedNovember 9, 2006

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

    Payer SourceTotal Paid
    Medicare$58.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$1,100$15.4K
    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…90$120$10.9K
    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…80$90$7.1K
    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,…170$40$6.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110$50$5.4K
    99203The provider sees a new 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 provider…50$80$3.7K
    23600In this procedure, the provider performs a closed treatment of a surgical or anatomical neck fracture of the upper end of the humerus. Treatment does not include manipulation, or adjustment, of the…10$220$2.4K
    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…30$70$2.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.110$20$2.1K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.60$30$1.6K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,1967,860160$80$23.2K
    23472709020$790$21.3K
    992136,0227,690100$60$10.8K
    2061031981070$50$7.3K
    992048714,52040$110$6.4K
    2360041020$220$4K
    992031,1582,97030$70$3.9K
    992121771,82030$30$2.5K
    7356218847050$20$1.9K
    7303013472040$20$1.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$58.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$56.5M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$38.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.7M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$15.1M
    The Charlotte-mecklenburg Hospital AuthorityNCPediatrics Physician$0$8.1M
    Carolinas Physicians Network IncNCPediatrics Physician$0$7.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Berkeley Citizens IncSCEarly Intervention Provider Agency$0$27.1M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$20.6M
    Berkeley County School DistrictSCLocal Education Agency (LEA)$0$12.7M
    Berkeley County EmsSCLand Ambulance$1.3M$2.3M
    Lakeside Family CenterSCMental Health Counselor$0$2.9M
    Delta Pharmacy IncSCCommunity/Retail Pharmacy$46.1K$1.9M
    Vantage Speech & Language LLCSCSpeech-Language Pathologist$0$1.6M
    Jeffrey SantiSCFamily Medicine Physician$283.4K$0
    Jeremy AckermannSCFamily Medicine Physician$282.9K$0
    John FlaugherSCFamily Medicine Physician$266.5K$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
    Robert Sullivan — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina