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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMitchell Starnes
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    Mitchell Starnes — Billing Profile & Reimbursement Data

    NPI 1295761807 · Easley, SC · Anesthesiology Physician

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    Mitchell Starnes is a anesthesiology physician provider located in Easley, South Carolina. This profile covers 11 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
    OrganizationMitchell Starnes
    Address200 Fleetwood Dr
    CityEasley
    StateSC
    ZIP29640
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 24, 2006

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

    Payer SourceTotal Paid
    Medicare$13.4K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.20$100$2K
    00104The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.50$40$1.9K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…30$60$1.6K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.10$120$1.6K
    01230The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.10$120$1.4K
    00300The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.20$80$1.3K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…20$50$850
    00532The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…10$60$780
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…10$60$740
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…10$50$580

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0081236941020$70$2.6K
    0073171885020$70$2.6K
    0079011724010$140$2.2K
    0010442020$70$2.1K
    01230244010$120$1.6K
    00300167010$100$1.5K
    0052077020$80$1.5K
    644159715020$50$1.3K
    014801816020$70$1.3K
    00532142020$70$1.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William LeatherwoodGACertified Registered Nurse Anesthetist$58.3K$0
    William AgudeloGACertified Registered Nurse Anesthetist$23.8K$0
    Minh ThaiGAAnesthesiology Physician$19.7K$0
    Jennifer PritchettGAAnesthesiology Physician$14.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pickens County Board Of Disabilities And Special NeedsSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.3M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$9.3M
    Woodruff Road Urgent Care Center, P.C.SCUrgent Care Clinic/Center$0$7.3M
    School District Of Pickens CountySCLocal Education Agency (LEA)$0$6.4M
    National Seating & Mobility IncSCDurable Medical Equipment & Medical Supplies$0$4.7M
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$4.7M
    Pickens County Commission On Alcohol & Drug AbuseSCSubstance Use Disorder Rehabilitation Clinic/Center$0$2.4M
    Recovery Concepts Of Carolina Upst LLCSCMethadone Clinic$0$2.3M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$1.8M
    Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.SCOral and Maxillofacial Surgery (Dentist)$0$1.6M

    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
    Mitchell Starnes — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina