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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Kellogg
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    William Kellogg — Billing Profile & Reimbursement Data

    NPI 1265490643 · Sumter, SC · Hematology & Oncology Physician

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    William Kellogg is a hematology & oncology physician provider located in Sumter, South Carolina. This profile covers 51 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
    OrganizationWilliam Kellogg
    Address1105 N Lafayette Dr
    CitySumter
    StateSC
    ZIP29150
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 3, 2006

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$120

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9299Injection, nivolumab, 1 mg38,060$20$913.4K
    J0897Injection, denosumab, 1 mg19,980$20$339.7K
    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…880$90$82.1K
    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…1,340$60$80.6K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units5,120$10$30.7K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…1,120$20$24.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2,440$10$24.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2,970$10$23.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,870$10$22.9K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…480$50$22.3K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J929911015,760$20$432K
    J0897142502,400$20$91.2K
    J3490135070$510$57.7K
    J92173870130$130$22.1K
    964134150140$90$22.1K
    J0185152014,300$1$17.6K
    Q51061101,270$10$11.9K
    Q013811016,320$1$11.4K
    99213977,690100$60$10.8K
    992331,4911,77080$90$10.7K

    Showing 1–10 of 51

    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
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10$10$100
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$1$30

    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
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.659710350$60$247.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…393420710$1$24.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$28.1M
    Sumter Pediatrics, P.A.SCPediatrics Physician$0$24.4M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$17.3M
    Colonial Family Practice, LLCSCFamily Medicine Physician$0$9.5M
    Tandem Health ScSCFederally Qualified Health Center (FQHC)$0$7.8M
    Prisma Health TuomeySCEmergency Medicine Physician$0$6.8M
    Wesmark Dental Health CenterSCGeneral Practice Dentistry$0$6.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$5.5M
    Carolina Children's Dentistry, LLCSCPediatric Dentistry$0$5.2M
    Sumter School DistrictSCLocal Education Agency (LEA)$0$4.2M

    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.

    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
    William Kellogg — 14 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
    William Kellogg — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina