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    OpenPayerNPI Medicare & MedicaidJill Sullivan
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    Jill Sullivan — Billing Profile & Reimbursement Data

    NPI 1174818355 · Greenville, SC · Internal Medicine Physician

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    Jill Sullivan is a internal medicine physician provider located in Greenville, South Carolina. This profile covers 86 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
    OrganizationJill Sullivan
    Address701 Grove Rd
    CityGreenville
    StateSC
    ZIP29605
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 15, 2011

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

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    This provider is heavily Medicare-focused and effectively single-payer: lifetime Medicare revenue is $3.4M and there is no Medicaid billing on file. The absence of any Medicaid claims indicates the provider’s billing activity and revenue base are concentrated entirely within Medicare beneficiaries and related services.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 65.2% of the provider’s total Medicare revenue. Those top codes are dominated by high-cost oncology/immunotherapy agents (see J9271, J0897, J9144), indicating that a small set of drug-administering codes generate the majority of billings.

    The service mix and business model appear to center on oncology and infusion-based care. J9271 (pembrolizumab) is the single largest revenue driver at $1.3M (41.6% of Medicare revenue), with additional significant revenue from J0897 (denosumab) and J9144 (daratumumab), which together reflect a practice that administers high-volume injectable cancer therapies and supportive agents. The presence of chemotherapy administration code 96413 and multiple infusion/adjunct codes (96367, J1627, J0185) further supports an outpatient infusion or oncology infusion clinic operation.

    Competitive standing on several oncology drugs is notable. J9271 ranks #112 of 1841 providers nationally (94th percentile) and is described as "notably above typical national volume," indicating this provider delivers pembrolizumab at volumes well above most peers. J0897 also shows unusually high volume relative to peers (rank #238 of 10057, 98th percentile; "notably above typical national volume"), signaling strong market presence for denosumab injections. Other oncology drug codes (J9144, J9299) are within typical ranges for national volume and do not indicate dominance.

    Evaluation-and-management activity appears modest relative to the drug/infusion revenue mix but present at elevated volumes for common office codes. The provider billed 99214 (moderate-complexity established visits) for 843 claims producing $77.6K (2.4% of Medicare revenue) and ranks in the 96th percentile nationally for that code, labeled "notably above typical national volume." Similarly, 99213 shows high national rank (98th percentile) despite lower per-claim revenue, suggesting substantial office-based follow-up or management encounters associated with the infusion practice.

    Several ancillary and support services rank highly versus peers, consistent with a high-throughput infusion practice. Routine lab panels (85025, 80048, 80076) and phlebotomy (36415) appear in the top codes with strong national rank percentiles (most in the high 90s), indicating frequent on-site laboratory testing and blood draws that support ongoing infusion care and oncology monitoring. These contribute modestly to revenue but signal integrated point-of-care services.

    Tenure is established: the provider’s NPI was enumerated on 2011-06-15 (~15 years ago). That length of enrollment supports a sustained practice presence in the market and helps contextualize the high cumulative Medicare revenue and the developed infusion/oncology service mix.

    There are specific statistical outliers in claim volumes: 99213 and 36415 both have very high national ranks (98th and 99th percentiles respectively) and are labeled "extreme outlier" or "typical, unremarkable" as noted, underscoring unusually high visit and phlebotomy volumes relative to most providers. Conversely, several expensive imaging and specialty drug codes (e.g., 78815, 78816, J9304) are within typical or lower percentiles, indicating the practice’s competitive strength is concentrated in certain drug administrations rather than imaging or less-common specialty therapies.

    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.

    86 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg30,800$40$1.3M
    J0897Injection, denosumab, 1 mg21,660$20$389.9K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj9,720$40$359.6K
    J9299Injection, nivolumab, 1 mg12,760$20$306.2K
    J9304Injection, pemetrexed (pemfexy), 10 mg2,370$50$125.3K
    J1449Injection, eflapegrastim-xnst, 0.1 mg3,830$30$95.7K
    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…840$90$77.6K
    J1627Injection, granisetron, extended-release, 0.1 mg12,100$10$60.5K
    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…920$60$57K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…580$100$55.1K

    Showing 1–10 of 86

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 86 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    86 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927123019,700$40$832K
    J9299121015,760$20$432K
    J91444108,460$40$349.4K
    J93041102,370$50$124.8K
    J14497104,090$30$98.8K
    J0897122502,400$20$91.2K
    J3490155070$510$57.7K
    J25061310740$80$55.9K
    Q51221010540$90$55.6K
    J162761010,400$1$46.3K

    Showing 1–10 of 86

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Robert CollinsSCInternal Medicine Physician$2.7M$0
    Woodrow CokerSCHospitalist Physician$2.6M$0
    South Carolina Oncology Assoc PASCHematology & Oncology Physician$0$2.5M
    Scott SommersSCHematology & Oncology Physician$2.3M$0
    Mohamed El GeneidySCHematology & Oncology Physician$2.1M$0
    Chaudhry MushtaqSCHematology & Oncology Physician$2M$0
    Anne HutchisonSCHematology & Oncology Physician$2M$0
    Steven MinterSCInternal Medicine Physician$1.9M$0
    Fred KudrikSCHematology & Oncology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$86.9M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$25M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$22M
    Heavenly Care Services Inc.SCNursing Care Agency$0$12.1M
    Speechworks, Inc.SCSpeech-Language Pathologist$0$10.5M
    Plan Home Health CareSCNursing Care Agency$0$8.9M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$8.3M
    Prisma Health-upstateSCLand Ambulance$4.5M$3.7M
    Prisma Health-upstateSCInfusion Therapy Clinic/Center$0$7.5M
    Prisma Health University Medical GroupSCDiagnostic Radiology Physician$0$7.5M

    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.

    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
    Jill Sullivan — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina