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    OpenPayerNPI Medicare & MedicaidAdam Blumer
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    Adam Blumer — Billing Profile & Reimbursement Data

    NPI 1619267267 · Spartanburg, SC · Oral and Maxillofacial Surgery (Dentist)

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    Adam Blumer is a oral and maxillofacial surgery (dentist) provider located in Spartanburg, South Carolina. This profile covers 0 Medicare and 10 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
    OrganizationAdam Blumer
    Address115 Powell Mill Rd
    CitySpartanburg
    StateSC
    ZIP29301
    TaxonomyOral and Maxillofacial Surgery (Dentist)
    NPI EnumeratedApril 17, 2011

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

    Payer SourceTotal Paid
    Medicaid$1.8M
    Medicare$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…7,370$110$774.1K
    D7240N/A2,260$190$433.3K
    D9223N/A2,670$70$187K
    D9222N/A2,100$70$145.2K
    D9612N/A1,890$60$107.8K
    D0150Comprehensive oral evaluation – new or established patient2,490$40$104.7K
    D7230N/A220$150$33.3K
    D0330N/A820$20$19.7K
    D0140Limited oral evaluation – problem focused50$30$1.7K
    D9610N/A30$30$920

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A1460450$260$370K
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…4120170$130$125.1K
    D9223N/A770370$80$85.3K
    D7230N/A1330140$210$80.1K
    D9222N/A1070280$90$74.9K
    D9612N/A1101,690$50$66K
    D0330N/A149460370$50$54.4K
    D0150Comprehensive oral evaluation – new or established patient59510290$40$51.6K
    D0140Limited oral evaluation – problem focused346440360$40$35.2K
    D9610N/A510150$30$4.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jarod MotleySCAnesthesiology Physician$8.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Therapy Solutions, Inc.SCPhysical Therapist$0$9.5M
    D Jensen Turner Dmd LLCSCPediatric Dentistry$0$8.2M
    Spartanburg Medical CenterSCUrgent Care Clinic/Center$0$6.3M
    Pediatrics Unlimited IncSCMusic Therapist$0$5.9M
    Mcculloh Therapeutic SolutionsSCSpeech-Language Pathologist$0$4.3M
    Spartanburg Medical CenterSCUrgent Care Clinic/Center$0$3.7M
    Spartanburg Medical CenterSCPediatrics Physician$0$2.9M
    Lee TaylorSCFamily Medicine Physician$1.1M$0
    Mark KnipferSCFamily Medicine Physician$406.6K$0
    Victoria ArlauskasSCInternal Medicine Physician$298.5K$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.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Adam Blumer — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina