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    David Trigg — Billing Profile & Reimbursement Data

    NPI 1134138167 · Sumter, SC · Family Medicine Physician

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    David Trigg is a family medicine physician provider located in Sumter, South Carolina. This profile covers 20 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
    OrganizationDavid Trigg
    Address325 Broad St
    CitySumter
    StateSC
    ZIP29150
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 7, 2006

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

    Payer SourceTotal Paid
    Medicare$40.6K
    Medicaid$1000

    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.

    20 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…380$60$20.6K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…130$60$7.9K
    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…70$70$5.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…170$10$1.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.30$40$1K
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…70$10$910
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…70$10$590
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.70$10$570
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…40$10$480
    96360The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.20$20$380

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,4427,860160$80$23.2K
    992131,0427,690100$60$10.8K
    96365142170100$40$7.4K
    85025492810120$10$3.1K
    364151,3492,090140$10$2.7K
    87428731020$40$1.5K
    930001,2201,47030$10$1.5K
    710465341,11040$10$1.2K
    96360396040$20$1.1K
    963721941,62050$10$880

    Showing 1–10 of 20

    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$70$990

    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 David Trigg, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colonial Family Practice, LLCSCFamily Medicine Physician$0$9.5M
    David WhaleySCFamily Medicine Physician$595.2K$0
    John BakerSCNeurology Physician$453.6K$0
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K
    Clayton LowderSCFamily Medicine Physician$340.1K$0
    Monish MerchantFLVascular & Interventional Radiology Physician$306.8K$120
    Mitchell GrunskySCFamily Medicine Physician$299.1K$0
    Thomas LucasSCFamily Medicine Physician$290.5K$0
    Ike StewartSCFamily Medicine Physician$282.5K$0
    Christopher MahrSCFamily Medicine Physician$228.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Sumter Pediatrics, P.A.SCPediatrics Physician$0$24.4M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$17.3M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$7.8M
    Prisma Health TuomeySCEmergency Medicine Physician$0$6.8M
    Wesmark Dental Health CenterSCGeneral Practice Dentistry$0$6.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$5.5M
    Carolina Children's Dentistry, LLCSCPediatric Dentistry$0$5.2M
    Sumter School DistrictSCLocal Education Agency (LEA)$0$4.2M
    Kool Smiles, PCSCGeneral Practice Dentistry$0$4.2M

    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
    David Trigg — 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
    David Trigg — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina