Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Boxwell
    Ask Trek AI about this page

    Daniel Boxwell — Billing Profile & Reimbursement Data

    NPI 1518181148 · Seneca, SC · Facial Plastic Surgery Physician

    Customize your policy alerts

    Sign up for Daniel Boxwell — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Daniel Boxwell is a facial plastic surgery physician provider located in Seneca, South Carolina. This profile covers 17 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Boxwell
    Address215 Stork Way
    CitySeneca
    StateSC
    ZIP29678
    TaxonomyFacial Plastic Surgery Physician
    NPI EnumeratedApril 13, 2007

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

    Payer SourceTotal Paid
    Medicare$172.4K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…300$120$35.6K
    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…350$90$32.7K
    30469The provider applies radiofrequency energy to reshape the nasal valve in both nostrils.20$1,830$29.2K
    30117In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.60$480$27.9K
    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…130$70$8.4K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.250$30$8.2K
    99203The provider sees a new 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 provider…100$80$7.9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$90$7.4K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$140$3.8K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$160$2.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3046911020$1,830$29.2K
    992142,1987,860160$80$23.2K
    3011721040$380$17.8K
    312319914060$120$12.3K
    992133,1787,690100$60$10.8K
    99204384,52040$110$6.4K
    315756616060$80$6.3K
    992034802,97030$70$3.9K
    692103928040$30$3.1K
    69433224020$150$2.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$171.7M
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health University Medical GroupSCDevelopmental - Behavioral Pediatrics Physician$0$16M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$8.3M
    Prisma Health University Medical GroupSCDiagnostic Radiology Physician$0$7.5M
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$4.7M
    Columbia Eye Surg Center IncSCOphthalmologic Surgery Clinic/Center$3.5M$1.2K
    Adam PflugrathSCRetina Specialist (Ophthalmology) Physician$3.1M$0
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$2.4M
    Manuel De PinaSCFamily Medicine Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Issaqueena Pediatric Dentistry P.A.SCPediatric Dentistry$0$15.3M
    Oconee PediatricsSCRural Health Clinic/Center$0$8.5M
    Blue Ridge Pediatrics LLCSCRural Health Clinic/Center$0$5.6M
    Keowee Primary Care & Internal Medicine PCSCInternal Medicine Physician$0$2M
    Crossroads Treatment Center Of Seneca, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$0$1.9M
    Childrens Therapy Center, Inc.SCPediatric Occupational Therapist$0$1.6M
    Tauqueer AlamSCInternal Medicine Physician$652.5K$26K
    The Blue Ridge Clemson Orthopaedic Asc LLCSCAmbulatory Surgical Clinic/Center$553.6K$0
    Jared RichardsonSCFamily Medicine Physician$489.3K$0
    Osman HicklinSCDiagnostic Radiology Physician$381.3K$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
    Daniel Boxwell — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina