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    OpenPayerNPI Medicare & MedicaidLeonard Douglas
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    Leonard Douglas — Billing Profile & Reimbursement Data

    NPI 1508835737 · N Charleston, SC · Family Medicine Physician

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    Leonard Douglas is a family medicine physician provider located in N Charleston, 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
    OrganizationLeonard Douglas
    Address9237 University Blvd
    CityN Charleston
    StateSC
    ZIP29406
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicare$308.1K
    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
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…3,960$50$206.1K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…710$100$69.4K
    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…80$130$11.2K
    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…90$90$8.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…90$40$3.7K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…90$30$3.1K
    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,…50$40$1.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$100$1.4K
    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$70$1.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…10$60$670

    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
    9948910340360$50$41.4K
    99349519530240$80$30.4K
    992144,9717,860160$80$23.2K
    994871335080$80$15.7K
    992137,0087,690100$60$10.8K
    992156192,36040$120$9.3K
    9949031965080$40$8.9K
    9934831032040$50$4.1K
    9943910541050$30$3.4K
    992127181,82030$30$2.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sc House Calls IncSCFamily Medicine Physician$0$11.6M
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Joel WaldropSCEmergency Medicine Physician$2.4M$9.3K
    Andrew DonatoSCEmergency Medicine Physician$2.3M$8.9K
    Kenneth BeckerSCFamily Medicine Physician$1.2M$0
    Jonathan MaconSCInternal Medicine Physician$911.1K$0
    Adediji OsinloyeNCInternal Medicine Physician$909.6K$0
    Julia BrownSCFamily Nurse Practitioner$742.9K$0
    Aundrea BrowningSCFamily Nurse Practitioner$692.9K$0
    Otis SpeightSCEmergency Medicine Physician$683.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$55.8M
    Sweetgrass PediatricsSCPediatrics Physician$0$37.1M
    Trident Ambulatory Surgery Center, L.P.SCAmbulatory Surgical Clinic/Center$1M$10.9M
    Palmetto Pediatrics, PASCPediatrics Physician$0$9M
    Taylor Consultants, LLCSCCase Manager/Care Coordinator$0$7.5M
    Charleston Children's Therapy Center, LLCSCPediatric Physical Therapist$0$5.7M
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$4.1M
    Med-trans CorporationSCAir Ambulance$292K$3.6M
    Oral Surgery Of South Carolina LLCSCOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Crossroads Treatment Center Of Charleston, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$153.1K$3.2M

    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
    Leonard Douglas — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina