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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHenry Kearse
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    Henry Kearse — Billing Profile & Reimbursement Data

    NPI 1538247663 · Summerville, SC · Dermatology Physician

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    Henry Kearse is a dermatology physician provider located in Summerville, South Carolina. This profile covers 20 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHenry Kearse
    Address85 Springview Ln Unit C
    CitySummerville
    StateSC
    ZIP29485
    TaxonomyDermatology Physician
    NPI EnumeratedNovember 2, 2006

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

    Payer SourceTotal Paid
    Medicare$95.5K
    Medicaid$16K

    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.

    20 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…210$90$18.4K
    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…270$60$17.2K
    96920The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.90$120$9.9K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.200$40$8.2K
    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…60$120$7.1K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)20$290$6.7K
    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…90$70$6.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.60$60$3.7K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…50$80$3.5K
    96567The provider applies a photosensitizing drug to the lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is…20$100$2.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,3507,860160$80$23.2K
    J7308122020$300$17.5K
    11102212260220$60$16.7K
    17110212280140$70$15.2K
    17000198300340$30$15K
    992131,5767,690100$60$10.8K
    9692021090$110$9.8K
    170032132701,120$1$7.3K
    11301395030$60$6.8K
    17281213040$110$6.6K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 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…120$60$6.9K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…110$60$6.4K
    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…30$80$2.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Carolina median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6112,770210$60$254.5K
    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…33652070$70$67.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…8420070$50$21.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Hearing Care Center, LLCSCSpeech-Language Pathologist$0$5.8M
    Oakbrook Pediatrics, PASCPediatrics Physician$0$5.5M
    Coastal Carolina Multispecialty Associates, LLCSCSpecialist$0$4.1M
    Synergy Counseling Services LLCSCProfessional Counselor$0$3.7M
    Low Country Women's SpecialistsSCObstetrics & Gynecology Physician$0$3.4M
    Caroline Speech & Language Center IncSCSpeech-Language Pathologist$0$2.8M
    Lowcountry Outpatient Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$2.6M$45K
    Womens Health Partners PASCObstetrics & Gynecology Physician$0$1.9M
    Cp Dentistry, LLCSCPediatric Dentistry$0$1.7M
    Summerville Endoscopy Center, LLCSCAmbulatory Surgical Clinic/Center$491.8K$181.3K

    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
    Henry Kearse — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Henry Kearse — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina