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    OpenPayerNPI Medicare & MedicaidDouglas Mccoy
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    Douglas Mccoy — Billing Profile & Reimbursement Data

    NPI 1376642322 · Mt Pleasant, SC · Family Nurse Practitioner

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    Douglas Mccoy is a family nurse practitioner provider located in Mt Pleasant, South Carolina. This profile covers 15 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
    OrganizationDouglas Mccoy
    Address2863 N Highway 17
    CityMt Pleasant
    StateSC
    ZIP29466
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$34.1K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$80$10.9K
    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…70$100$7.2K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.60$80$4.4K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…90$40$3.6K
    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.140$20$2.3K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$110$2K
    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…20$50$1K
    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…90$10$770
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.20$40$750
    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…20$20$500

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,7127,860160$80$23.2K
    992852,5451,110130$130$20.6K
    9921317,6707,690100$60$10.8K
    992841,4461,170100$90$9.1K
    992041,1944,52040$110$6.4K
    87811527030$40$2.4K
    9928384582030$50$1.8K
    87804959050$20$1.2K
    710469161,11040$10$1.2K
    963722801,62050$10$880

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acs Primary Care Physicians - Southeast PCSCEmergency Medicine Physician$0$81.7M
    Medcare Express - North Charleston LLCSCUrgent Care Clinic/Center$0$34.8M
    Kalpesh PurohitSCFamily Medicine Physician$2.1M$0
    Jonathan BusbeeGAInternal Medicine Physician$266.2K$1.6M
    Amarabalan RajendranGAPhysical Medicine & Rehabilitation Physician$690.5K$0
    William MortonGAInternal Medicine Physician$479.3K$0
    Tarak PatelGAInfectious Disease Physician$210.1K$252.6K
    Hakeem AyindeVAClinical Cardiac Electrophysiology Physician$426.4K$0
    Kashif NaseemGAInternal Medicine Physician$340.1K$0
    Ravin TalatiGAFamily Medicine Physician$299.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All On Board Speech, LLCSCSpeech-Language Pathologist$0$3.6M
    Roper St. Francis Mount Pleasant HospitalSCGeneral Acute Care Hospital$0$2.5M
    Mt. Pleasant Pediatric Speech Therapy, LLCSCSpeech-Language Pathologist$0$1.9M
    Spoken Word Speech Therapy, LLCSCHome Health Agency$0$1.6M
    John MccrossonSCAdult Reconstructive Orthopaedic Surgery Physician$510.8K$0
    Kathleen HoganSCAdult Reconstructive Orthopaedic Surgery Physician$309.6K$0
    Palmetto Endoscopy Center - Mt Pleasant LLCSCAmbulatory Surgical Clinic/Center$301K$0
    John MartSCPhysical Therapist$272K$0
    Joseph SchriverSCPhysical Therapist$202.7K$0
    Collin WeyerSCPhysical Therapist$165.2K$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
    Douglas Mccoy — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina