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    OpenPayerNPI Medicare & MedicaidDarren Mack
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    Darren Mack — Billing Profile & Reimbursement Data

    NPI 1366679318 · Aiken, SC · Urology Physician

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    Darren Mack is a urology physician provider located in Aiken, South Carolina. This profile covers 25 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
    OrganizationDarren Mack
    Address770 Medical Park Dr
    CityAiken
    StateSC
    ZIP29801
    TaxonomyUrology Physician
    NPI EnumeratedJune 17, 2009

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

    Payer SourceTotal Paid
    Medicare$157K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…450$60$26.4K
    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…130$170$21.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.30$730$18.9K
    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$530$12.7K
    64581The provider uses an open approach to implant a sacral nerve neurostimulator electrode array. Placement is transforaminal, meaning through the foramen (the opening sacral nerves run through). This…20$490$10.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…250$40$9K
    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…30$330$8.9K
    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…90$80$7.6K
    52351The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…30$200$5.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$100$5.4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6459051020$5,830$110.8K
    6456172020$2,150$64.5K
    6458111020$1,800$30.7K
    992145,0167,860160$80$23.2K
    5200051140100$150$17.3K
    992321,5302,78090$60$12K
    52601104020$590$11.2K
    52356247020$450$11.2K
    992138207,690100$60$10.8K
    5235341020$530$10K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kashif NaseemGAInternal Medicine Physician$340.1K$0
    Ansermo ArthurSCInterventional Cardiology Physician$337.4K$0
    Weems PenningtonSCCardiovascular Disease Physician$300.9K$0
    Gerald GordonSCInternal Medicine Physician$295.2K$0
    Mutahammis KareemSCPhysical Medicine & Rehabilitation Physician$248.1K$0
    Idris SharafSCCardiovascular Disease Physician$245.4K$0
    Gregory EavesSCCardiovascular Disease Physician$201.6K$0
    Jonathan AndersonSCUrology Physician$197.9K$0
    Robert WalkerSCInternal Medicine Physician$135.5K$0
    Gregory AltemoseFLClinical Cardiac Electrophysiology Physician$135.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-development Center Of Aiken County, Inc.SCCognitive & Behavioral Psychologist$0$39.6M
    Aiken Regional Medical Centers LLCSCGeneral Acute Care Hospital$0$31.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Sound Physicians Emergency Medicine Of South Carolina LLCSCEmergency Medicine Physician$0$14.2M
    Regency Hospice Of Georgia, LLCSCCommunity Based Hospice Care Agency$0$12M
    Rural Health Services, IncSCFederally Qualified Health Center (FQHC)$0$10.3M
    Children's Place, IncSCCommunity/Behavioral Health Agency$0$6.8M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$6.6M
    Aiken CountySCAmbulance$1.1M$2.4M
    Aiken Dental AssociatesSCGeneral Practice Dentistry$0$3.3M

    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
    Darren Mack — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina