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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTracy Tipton
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    Tracy Tipton — Billing Profile & Reimbursement Data

    NPI 1326487588 · Charleston, SC · Urology Physician

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    Tracy Tipton is a urology physician provider located in Charleston, South Carolina. This profile covers 28 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
    OrganizationTracy Tipton
    Address125 Doughty St Ste 300
    CityCharleston
    StateSC
    ZIP29403
    TaxonomyUrology Physician
    NPI EnumeratedJune 21, 2013

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

    Payer SourceTotal Paid
    Medicare$249.8K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…720$130$93K
    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…560$80$44.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…150$160$24.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…100$160$16.1K
    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…90$100$8.6K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$540$8.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg60$120$7.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$420$7.1K
    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…90$50$4.8K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$300$4.4K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,2347,860160$80$23.2K
    J92177070130$130$22.1K
    5200035140100$150$17.3K
    50590233020$480$15.5K
    992322,3342,78090$60$12K
    52601244020$590$11.2K
    52356567020$450$11.2K
    992133,9417,690100$60$10.8K
    992331,4501,77080$90$10.7K
    5244252070$120$9.8K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary JamesSCUrology Physician$154.7K$0
    Jonathan PicardSCUrology Physician$148.7K$0
    Brittany FowlerSCNurse Practitioner$71.4K$0
    Adele ComiteSCSurgical Physician Assistant$47.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Disabilities Board Of Charleston CountySCDevelopmentally Disabled Services Day Training Agency$0$49.9M
    Vikor Scientific, LLCSCClinical Medical Laboratory$516.8K$27M
    Fetter Health Care Network, Inc.SCFederally Qualified Health Center (FQHC)$0$5.8M
    Nathan SengSCDentist$0$1.6M
    Charleston Pathology, P.A.SCClinical Medical Laboratory$248.5K$385.5K
    Phi Life Sciences LLCSCClinical Medical Laboratory$91.6K$374.7K
    Alexander KentSCOphthalmology Physician$287.4K$0
    John MitchellSCCritical Care Medicine (Internal Medicine) Physician$216.5K$0
    Joseph LallySCOphthalmology Physician$202.5K$0
    Todd JoyeSCInterventional Pain Medicine Physician$192.7K$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
    Tracy Tipton — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina