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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGerald Taylor
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    Gerald Taylor — Billing Profile & Reimbursement Data

    NPI 1184649261 · Charleston, SC · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Gerald Taylor is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Charleston, South Carolina. This profile covers 7 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
    OrganizationGerald Taylor
    Address1470 Tobias Gadson Blvd Ste 110
    CityCharleston
    StateSC
    ZIP29407
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$52.5K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$90$14K
    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…110$120$12.9K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.10$750$9.7K
    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…140$70$9.5K
    57250In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…20$330$5.9K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.60$10$390
    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…40$1$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,0317,860160$80$23.2K
    5742581020$700$13.4K
    992132,9237,690100$60$10.8K
    992046744,52040$110$6.4K
    5725051020$290$5.9K
    51798145190130$10$1.6K
    8100221946030$1$400

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinas Medical CenterNCGeneral Acute Care Hospital$0$178.2M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    Carolinas Physicians Network IncNCPsychologist$0$29.4M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Carolinas Medical CenterNCPediatrics Physician$0$17.8M
    Carolinas Medical CenterNCAmbulance$0$17M
    Carolinas Medical CenterNCGeneral Practice Physician$0$16.6M
    Carolinas Medical CenterNCChild & Adolescent Psychiatry Physician$0$16.6M
    Carolinas Medical CenterNCObstetrics & Gynecology Physician$0$11.8M
    Carolinas Physicians Network Inc.NCVascular Surgery Physician$0$8.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry For Children Of South Carolina, PCSCPediatric Dentistry$0$68.4M
    Medcare Express - North Charleston LLCSCUrgent Care Clinic/Center$0$34.8M
    Justiceworks Behavioral CareSCCommunity/Behavioral Health Agency$0$18.6M
    Carolina Health ForceSCNursing Care Agency$0$8.8M
    Plantation Pediatrics, LLCSCPediatrics Physician$0$8.2M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$5.8M
    Charleston Pediatric Rehabilitation LLCSCSpeech-Language Pathologist$0$3.8M
    Charleston Ent Associates, LLCSCAmbulatory Surgical Clinic/Center$482K$2.8M
    Charleston Ot LLCSCOccupational Therapist$0$3.2M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$3.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Gerald Taylor — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina