Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGayle Richmond
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Gayle Richmond — Billing Profile & Reimbursement Data

    NPI 1144292624 · Murrells Inlet, SC · Obstetrics & Gynecology Physician

    Customize your policy alerts

    Sign up for Gayle Richmond — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Gayle Richmond is a obstetrics & gynecology physician provider located in Murrells Inlet, South Carolina. This profile covers 21 Medicare and 2 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
    OrganizationGayle Richmond
    Address4017 Highway 17 Bypass
    CityMurrells Inlet
    StateSC
    ZIP29576
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedFebruary 7, 2006

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

    Payer SourceTotal Paid
    Medicare$136K
    Medicaid$780

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.480$80$38.2K
    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…450$80$35.3K
    58552The provider removes the uterus, cervix, fallopian tubes, and ovaries through the vagina but uses a laparoscope to cut the upper uterine and ovarian attachments. This procedure is done for a normal…20$640$11.4K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory240$40$9.4K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination220$40$7.8K
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…160$50$7.7K
    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…360$20$5.8K
    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$4.9K
    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…40$110$4.7K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…40$80$3.2K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6587,860160$80$23.2K
    52000135140100$150$17.3K
    992151,1202,36040$120$9.3K
    5855211010$570$8.6K
    992042,0874,52040$110$6.4K
    7708532050$50$4.4K
    5855821010$310$4.4K
    364151,9272,090140$10$2.7K
    76830117020$70$1.6K
    G0101531030$40$1.6K

    Showing 1–10 of 21

    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.

    2 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$50$740
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$50

    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

    2 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
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…283310270$10$17.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Ob-gyn LLCSCObstetrics & Gynecology Physician$0$2M
    Michael MccaffreySCNeurology Physician$723.1K$0
    Channing WilloughbySCPain Medicine Physician$680.8K$0
    Elizabeth SnoderlySCPain Medicine (Anesthesiology) Physician$531.3K$0
    Brett MilfordFLInterventional Cardiology Physician$478.2K$0
    Nitesh AinaniSCInterventional Cardiology Physician$396.8K$0
    Chrysoula PappaSCRheumatology Physician$361K$0
    William EppersonSCFamily Medicine Physician$356.7K$0
    Victor Diaz-gonzalezSCInterventional Cardiology Physician$288K$110
    Jacqueline SennottSCCardiovascular Disease Physician$259.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Gayle Richmond, 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
    James MontgomerySCGynecology Physician$1.9M$0
    Charles DoeringSCOphthalmology Physician$1.7M$0
    Jason RosenbergSCInterventional Pain Medicine Physician$880.6K$0
    Matthew DaviesSCPain Medicine (Physical Medicine & Rehabilitation) Physician$714.5K$0
    Huan GiapSCRadiation Oncology Physician$626.1K$0
    Michael BohanSCOrthopaedic Surgery Physician$595.9K$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
    Gayle Richmond — 6 of 21 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
    Gayle Richmond — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina