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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBlaire Howell
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    Blaire Howell — Billing Profile & Reimbursement Data

    NPI 1497300099 · Mt Pleasant, SC · Physician Assistant

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    Blaire Howell is a physician assistant provider located in Mt Pleasant, South Carolina. This profile covers 10 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
    OrganizationBlaire Howell
    Address1625 Hospital Dr
    CityMt Pleasant
    StateSC
    ZIP29464
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 9, 2019

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

    Payer SourceTotal Paid
    Medicare$117.1K
    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.

    10 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…780$50$39K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…250$110$28.2K
    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…300$80$22.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.250$60$15.5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.50$90$4.1K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.100$30$3.1K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.20$70$1.3K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…40$30$1.3K
    72080In this diagnostic procedure, the provider performs a minimum of two X–ray views of the area where the thoracic spine meets the lumbar spine to examine the patient's thoracolumbar junction for…40$20$880
    76376In this procedure, the provider performs 3D rendering for computed tomography magnetic resonance imaging, ultrasound, or another tomographic modality, typically for diagnostic purposes, with…70$10$680

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,5597,860160$80$23.2K
    8030736130110$60$14.6K
    G048095090$110$13.8K
    992133207,690100$60$10.8K
    7214816433050$80$7.6K
    7214116923040$80$3.9K
    721103930030$30$1.4K
    720504220020$30$840
    7208033020$20$580
    763763212030$10$530

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Southeastern Spine Institute Ambulatory Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$4M$0
    Richard FrischSCOrthopaedic Surgery Physician$422.6K$0
    German LevinSCPhysical Medicine & Rehabilitation Physician$405.6K$0
    Thomas AndersonSCNeurological Surgery Physician$387.6K$0
    Timothy BryanSCOrthopaedic Surgery of the Spine Physician$331.8K$0
    Eric KimCANeurology Physician$300.8K$0
    Ryan NoblesSCInterventional Pain Medicine Physician$258.6K$0
    John ParkerCANeurology Physician$243K$0
    Romina ShirkaNVNeurology Physician$224.5K$0
    Benjamin SchellSCOrthopaedic Surgery of the Spine Physician$214.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Therapy Services, Inc.SCSpeech-Language Pathologist$0$6.8M
    Bloom Children's TherapySCPediatric Occupational Therapist$0$3.5M
    Christopher MichaelisSCEmergency Medicine Physician$3.3M$0
    Carolina Family Care, IncSCClinical Medical Laboratory$1.8M$1.3M
    East Cooper Community Hospital, Inc.SCGeneral Acute Care Hospital$0$3M
    Allergy & Asthma Consultants, LLPSCAllergy & Immunology Physician$0$2.6M
    Francisco FolgarSCOphthalmology Physician$2.3M$0
    Amanda AcreeSCClinical Social Worker$0$2.3M
    Charleston Radiologists PASCDiagnostic Radiology Physician$0$2M
    Path Finders Team ServicesSCEarly Intervention Provider Agency$0$2M

    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
    Blaire Howell — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina