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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Merritt
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    William Merritt — Billing Profile & Reimbursement Data

    NPI 1609070143 · Columbia, SC · Gynecologic Oncology Physician

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    William Merritt is a gynecologic oncology physician provider located in Columbia, South Carolina. This profile covers 48 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
    OrganizationWilliam Merritt
    Address166 Stoneridge Dr
    CityColumbia
    StateSC
    ZIP29210
    TaxonomyGynecologic Oncology Physician
    NPI EnumeratedJune 11, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg7,600$40$326.8K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg5,170$50$274K
    J1449Injection, eflapegrastim-xnst, 0.1 mg5,020$30$125.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…480$90$45.5K
    J1627Injection, granisetron, extended-release, 0.1 mg8,800$10$44K
    Q2050Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg560$80$43.4K
    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…680$60$40.7K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg260$90$24.8K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.150$160$24.1K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…30$710$24.1K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271293019,700$40$832K
    Q51261105,170$50$272.6K
    J14492104,090$30$98.8K
    J349065070$510$57.7K
    J25061110740$80$55.9K
    J1627101010,400$1$46.3K
    Q2050110410$80$31.4K
    788159612080$220$25.8K
    992143,3837,860160$80$23.2K
    9641322150140$90$22.1K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Jill SullivanSCInternal Medicine Physician$3.4M$0
    Robert CollinsSCInternal Medicine Physician$2.7M$0
    Woodrow CokerSCHospitalist Physician$2.6M$0
    South Carolina Oncology Assoc PASCHematology & Oncology Physician$0$2.5M
    Scott SommersSCHematology & Oncology Physician$2.3M$0
    Mohamed El GeneidySCHematology & Oncology Physician$2.1M$0
    Chaudhry MushtaqSCHematology & Oncology Physician$2M$0
    Anne HutchisonSCHematology & Oncology Physician$2M$0
    Steven MinterSCInternal Medicine Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Youth Advocate ProgramSCCommunity/Behavioral Health Agency$0$64M
    Lifehme, Inc.SCOxygen Equipment & Supplies (DME)$0$45.6M
    Pal-med, LLCSCDurable Medical Equipment & Medical Supplies$0$26.2M
    Bright Start, LLCSCSpeech-Language Pathologist$0$20.8M
    Kids First Dental, LLCSCDentist$0$20.6M
    Hospice Care Of South Carolina, Lowcountry, LLCSCCommunity Based Hospice Care Agency$0$19.9M
    Crescent Hospice, Inc.SCCommunity Based Hospice Care Agency$0$17.3M
    Coram Healthcare/carolina Home TherapeuticsSCHome Infusion Therapy Pharmacy$0$13.9M
    Caring Healthcare, Inc.SCNursing Care Agency$0$13.3M
    Richland/lexington Disabilities And Special Needs BoardSCCase Management Agency$0$11.3M

    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
    William Merritt — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina