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    OpenPayerNPI Medicare & MedicaidStephen Parks
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    Stephen Parks — Billing Profile & Reimbursement Data

    NPI 1154387140 · Simpsonville, SC · Family Medicine Physician

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    Stephen Parks is a family medicine physician provider located in Simpsonville, South Carolina. This profile covers 23 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
    OrganizationStephen Parks
    Address35 Ray E Talley Ct
    CitySimpsonville
    StateSC
    ZIP29680
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$0

    Key Findings

    This provider’s billing is overwhelmingly Medicare-driven: lifetime Medicare revenue is $3.9M while there is no Medicaid billing on file, so the entity is effectively a single‑payer (Medicare) operation in the available data. That concentration increases Medicare exposure and means analyses of utilization and reimbursement should focus on Medicare patterns rather than Medicaid comparators.

    Revenue is highly concentrated in a small set of biologic and infusion products: J3245 ($759K, 19.5%), J0517 ($510.8K, 13.2%), and J2357 ($472.5K, 12.2%) together account for 44.9% of this provider’s total Medicare revenue. Those three codes alone drive nearly half of reported Medicare payments and should be the primary focus for revenue-risk, contracting, and utilization reviews.

    The CPT/HCPCS mix indicates the practice operates as a high-volume biologics/infusion site despite a Family Medicine Physician taxonomy: dominant codes are biologic injectables (J3245, J0517, J2357) and multiple immune globulin products (J1561, J1568, J1569), alongside frequent infusion administration codes (96365, 96366, 96372). This combination points to on‑site administration of specialty injectables and infusion therapies rather than a pure office‑visit primary care model.

    Competitive standing varies by product: J0517 ranks #7 of 200 providers nationally at the 97th percentile and J2357 ranks #36 of 581 at the 94th percentile, both described as "notably above typical national volume," indicating a major national presence for benralizumab and omalizumab administration. By contrast, J3245 (rank #37 of 225, 83th percentile) is characterized as typical/unremarkable volume, so the provider is a market leader for some biologics but not across all top agents.

    Operational throughput is evident in several high‑claim, low‑unit‑price products: J0256 shows 99.8K claims at $4 avg paid/claim for $399.2K revenue (rank #3 of 12, 82th percentile; labeled typical/unremarkable volume). The very large claim count with a low average payment suggests routine, frequent administration processes (high patient visits or repeated dosing) and the capacity to deliver many small‑unit therapies.

    Administration and infusion procedure codes are statistical outliers versus peers, supporting the infusion-site interpretation: 96365 (728 claims, $33.5K revenue) ranks #178 of 8873 providers at the 98th percentile and 96372 (710 claims, $7.8K revenue) ranks #852 of 58224 providers at the 99th percentile, both described as "notably above typical national volume." 96366 is similarly elevated (641 claims, $9.6K revenue; rank #114 of 2976, 96th percentile), indicating frequent IV and injection administrations relative to national peers.

    Other biologic and immune therapies also contribute meaningfully to Medicare revenue: J3380 ($357K, 9.2%) and the trio of immune globulin codes J1561 ($283.4K, 7.3%), J1568 ($249.9K, 6.4%), and J1569 ($205.8K, 5.3%) together represent sizable, diversified specialty drug revenue streams. These mid‑level contributors reduce single‑product concentration risk but reinforce that the practice’s financials are driven by specialty biologic and immunomodulatory therapies rather than routine primary‑care E/M services.

    The provider has a long billing history, with NPI enumerated on 2006-04-26 (~20 years ago), which suggests an established operating footprint; coupled with the specialized infusion/biologic mix and high national ranks on select agents, this profile looks like a long‑standing practice that has shifted substantial activity toward specialty drug administration under Medicare. Historical tenure plus the current code mix imply stability in service lines, which is important context for contracting or network decisions.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg6,900$110$759K
    J0517Injection, benralizumab, 1 mg3,870$130$510.8K
    J2357Injection, omalizumab, 5 mg15,750$30$472.5K
    J0256Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg99,800$1$399.2K
    J3380Injection, vedolizumab, intravenous, 1 mg21,000$20$357K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg7,460$40$283.4K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg7,350$30$249.9K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg5,720$40$205.8K
    J2182Injection, mepolizumab, 1 mg7,000$20$161K
    J2356Injection, tezepelumab-ekko, 1 mg10,500$10$147K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32452203,800$110$435.3K
    J338062011,400$20$231K
    J23572304,360$30$183.8K
    J05171201,100$130$180.6K
    J15695203,860$40$161.4K
    J15681105,220$30$155.1K
    J21825105,050$20$146.9K
    J15611103,890$40$146.6K
    J025611033,660$1$141.1K
    J23562107,140$10$109.9K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    Doctors Care, PASCFamily Medicine Physician$0$50.7M
    Kristi HunterGAGeneral Practice Physician$6.4M$0
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Rosalee UnwinSCFamily Nurse Practitioner$2.9M$0
    Whitley WeatherfordSCFamily Nurse Practitioner$2.7M$0
    Glenda CollinsSCFamily Nurse Practitioner$2.3M$0
    Kalpesh PurohitSCFamily Medicine Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Minuteclinic Diagnostic South Carolina LLCSCFamily Nurse Practitioner$0$3.8M
    Tribe Dental LLCSCPediatric Dentistry$0$1.9M
    Krishi PeddadaSCOphthalmology Physician$1.3M$0
    Adam EasterlingSCOphthalmology Physician$384.2K$0
    James McalpineSCInternal Medicine Physician$122.6K$0
    Sydney VanbeekSCOccupational Therapist$92.3K$0
    Mary GillinghamSCFamily Nurse Practitioner$36.3K$0
    Rachel LangenfeldSCPhysician Assistant$13.2K$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
    Stephen Parks — 7 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina