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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPansy Cooper
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    Pansy Cooper — Billing Profile & Reimbursement Data

    NPI 1215046339 · Conway, SC · Family Nurse Practitioner

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    Pansy Cooper is a family nurse practitioner provider located in Conway, South Carolina. This profile covers 30 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
    OrganizationPansy Cooper
    Address241 Singleton Ridge Road, Suite B
    CityConway
    StateSC
    ZIP29526
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$447.5K
    Medicaid$710

    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.

    30 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…1,500$70$109.6K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,820$50$81.7K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…870$80$71.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,470$30$48.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330$110$34.9K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…970$30$27.2K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…450$60$24.6K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…80$130$10.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…50$130$6.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.500$10$6.5K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9948933340360$50$41.4K
    992141027,860160$80$23.2K
    994871035080$80$15.7K
    G04391301,87080$120$14.5K
    992137,2927,690100$60$10.8K
    994901365080$40$8.9K
    906778051,23020$280$8.9K
    8006172370150$10$6.7K
    906626571,37050$70$5.5K
    994971071050$60$5K

    Showing 1–10 of 30

    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
    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…10$60$720
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications20$0$0

    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
    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…2,4152,480350$80$246K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications789070$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sc House Calls IncSCFamily Medicine Physician$0$11.6M
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Conway Hospital, Inc.SCPediatrics Physician$0$2.9M
    Joel WaldropSCEmergency Medicine Physician$2.4M$9.3K
    Andrew DonatoSCEmergency Medicine Physician$2.3M$8.9K
    Kenneth BeckerSCFamily Medicine Physician$1.2M$0
    Jonathan MaconSCInternal Medicine Physician$911.1K$0
    Adediji OsinloyeNCInternal Medicine Physician$909.6K$0
    Andrew GreskoSCClinical Cardiac Electrophysiology Physician$789.5K$0
    Julia BrownSCFamily Nurse Practitioner$742.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40.5M
    Horry County Disabilities & Special Needs BoardSCDevelopmentally Disabled Services Day Training Agency$0$25.7M
    Conway Hospital, Inc.SCGeneral Acute Care Hospital$0$20.2M
    Health Care Partners Of South Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$10.7M
    Carolina Radiology Associates LLCSCDiagnostic Radiology Physician$0$9.2M
    Horry County GovernmentSCLand Ambulance$4M$4.4M
    Conway Hospital Emergency Professional ServicesSCEmergency Medicine Physician$0$6.1M
    Coastal PediatricsSCPrimary Care Clinic/Center$0$5.1M
    Carolina Care Medical Supply LLCSCDurable Medical Equipment & Medical Supplies$0$4.9M
    Nicholas MarchaseSCOphthalmology Physician$4.1M$306.4K

    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
    Pansy Cooper — 8 of 25 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
    Pansy Cooper — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina