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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Benson
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    Paul Benson — Billing Profile & Reimbursement Data

    NPI 1487822730 · Georgetown, SC · Gastroenterology Physician

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    Paul Benson is a gastroenterology physician provider located in Georgetown, South Carolina. This profile covers 24 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
    OrganizationPaul Benson
    Address1011 N Fraser St
    CityGeorgetown
    StateSC
    ZIP29440
    TaxonomyGastroenterology Physician
    NPI EnumeratedFebruary 20, 2008

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

    Payer SourceTotal Paid
    Medicare$107.8K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…170$180$30K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.180$50$9.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…120$80$9.1K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$280$7.4K
    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…50$100$4.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.6K
    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…80$60$4.5K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.20$260$3.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$130$3.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$130$3.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856527090$270$36.9K
    992146,3187,860160$80$23.2K
    453807626060$170$18.9K
    432396227090$120$16.1K
    G010512817040$260$16K
    43450468050$140$12.6K
    992321,5522,78090$60$12K
    43274102030$310$11.3K
    992134,3097,690100$60$10.8K
    992331,4911,77080$90$10.7K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gastroenterology Associates Of The Piedmont, P.A.NCEndoscopy Clinic/Center$830.5K$504.8K
    Michael MccaffreySCNeurology Physician$723.1K$0
    Channing WilloughbySCPain Medicine Physician$680.8K$0
    Elizabeth SnoderlySCPain Medicine (Anesthesiology) Physician$531.3K$0
    Brett MilfordFLInterventional Cardiology Physician$478.2K$0
    Nitesh AinaniSCInterventional Cardiology Physician$396.8K$0
    Chrysoula PappaSCRheumatology Physician$361K$0
    William EppersonSCFamily Medicine Physician$356.7K$0
    Chad RundNCAnatomic Pathology & Clinical Pathology Physician$319.6K$0
    Gastroenterology Associates Of The Piedmont, P.A.NCEndoscopy Clinic/Center$234.9K$55.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Georgetown Memorial HospitalSCGeneral Acute Care Hospital$0$27.6M
    Georgetown County Board Of Disabilities And Special NeedsSCDevelopmentally Disabled Services Day Training Agency$0$13.8M
    Es Pediatric Partners LLCSCPediatrics Physician$0$13.2M
    St. James Health And Wellness Inc.SCFederally Qualified Health Center (FQHC)$0$5.3M
    Georgetown County School DistrictSCLocal Education Agency (LEA)$0$5.3M
    Active Sc Two, Inc.SCAdult Day Care Clinic/Center$0$2.1M
    Bay Microsurgical UnitSCAmbulatory Surgical Clinic/Center$1.8M$113.9K
    South Strand Oral & Maxillofacial SurgerySCOral and Maxillofacial Surgery (Dentist)$0$1.6M
    County Of GeorgetownSCAmbulance$450.4K$1.1M
    Catherine DoeggSCOphthalmology Physician$1.4M$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
    Paul Benson — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina