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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLori Cook
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    Lori Cook — Billing Profile & Reimbursement Data

    NPI 1255317723 · Columbia, SC · Internal Medicine Physician

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    Lori Cook is a internal medicine physician provider located in Columbia, South Carolina. This profile covers 20 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
    OrganizationLori Cook
    Address115 Blarney Dr Ste 109
    CityColumbia
    StateSC
    ZIP29223
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$77.3K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…410$50$20.6K
    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…230$90$19.4K
    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…120$110$13.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…160$30$5.5K
    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…90$60$4.9K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.280$20$4.5K
    99203The provider sees a new 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 provider…50$60$2.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$2.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…100$10$1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…50$20$920

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,1587,860160$80$23.2K
    992134,0167,690100$60$10.8K
    992045654,52040$110$6.4K
    906628801,37050$70$5.5K
    992031,1582,97030$70$3.9K
    G00081,3662,33060$30$3.1K
    87635339030$50$2.6K
    87426641030$30$1.5K
    878041859050$20$1.2K
    710464801,11040$10$1.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$171.7M
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$74.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$68.3M
    Centra Medical Group, LLCVAFamily Medicine Physician$0$60.1M
    Medcare Express - North Charleston LLCSCUrgent Care Clinic/Center$0$34.8M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$11.8M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$7.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamison Consultant's, LLCSCMental Health Counselor$0$15.3M
    About Play LLCSCEarly Intervention Provider Agency$0$13.3M
    State Of South CarolinaSCClinical Medical Laboratory$0$9.1M
    Midlands Dental Group, P.l.SCDental Clinic/Center$0$7.7M
    Palmetto Surgery Center LLCSCAmbulatory Surgical Clinic/Center$1.4M$4.6M
    Healthcare Etc, LLCSCIn Home Supportive Care Agency$0$5.4M
    Restorative Health Services Of Sc, LLCSCIn Home Supportive Care Agency$0$3.9M
    Dent,s Alternative Adult Daycare Health Services,llpSCAdult Day Care Clinic/Center$0$3.6M
    Barron FishburneSCRetina Specialist (Ophthalmology) Physician$3.3M$0
    Jeffrey GrossSCRetina Specialist (Ophthalmology) Physician$3M$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
    Lori Cook — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina