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 & MedicaidDanyel Mcevoy
    Ask Trek AI about this page

    Danyel Mcevoy — Billing Profile & Reimbursement Data

    NPI 1629168679 · N Charleston, SC · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for Danyel Mcevoy — 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.

    Danyel Mcevoy is a anatomic pathology & clinical pathology physician provider located in N Charleston, South Carolina. This profile covers 104 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 / 9

    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
    OrganizationDanyel Mcevoy
    Address4450 Leeds Pl W Ste A
    CityN Charleston
    StateSC
    ZIP29405
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedOctober 13, 2006

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    DANYEL MCEVOY appears to be operating primarily as a high‑volume anatomic/clinical pathology lab servicing routine outpatient testing, as reflected by major revenue from panel and chemistries such as 80061, 80053, and endocrine screening like 84443. The mix is heavily laboratory-focused (lipid panels, comprehensive metabolic panels, TSH) rather than procedure or office evaluation codes, consistent with a laboratory/pathology service line rather than direct patient-facing procedural care.

    Revenue concentration is pronounced: total Medicare revenue is $2.3M and the precomputed top three Medicare codes (80061, 80053, 84443) together account for 40.0% of that Medicare revenue. Individually these top codes are large contributors — 80061 ($300.1K, 14.4%), 80053 ($270.3K, 13.0%), and 84443 ($264.3K, 12.7%) — indicating a small set of panels drives a substantial share of income.

    This provider is effectively single‑payer in scale for the available data: Medicare revenue is $2.3M while there is no Medicaid billing on file, so operational exposure and contracting leverage will be concentrated through Medicare reimbursement dynamics and any commercial contracts not shown. Analysts should treat this entity as Medicare‑dependent in the claims dataset rather than dual‑payer.

    Competitive standing on several high-volume lab codes is strong relative to national peers: 80061 ranks #86 of 21671 providers (100th percentile; notably above typical national volume) and 80053 ranks #109 of 26416 providers (100th percentile; typical, unremarkable volume), showing nationally high throughput on cholesterol/lipid and CMP testing. Other high-volume codes like 36415 (30K claims, $239.7K revenue) and 83036 (13.9K claims, $139.4K revenue) also rank in top percentiles (36415 rank #96 of 86467, 83036 rank #100 of 44997) and are described as notably above typical national volume, underscoring broad diagnostic lab throughput.

    Several codes are explicitly flagged as statistical outliers in volume versus peers: 80061, 36415, 83036, 85027, and G0103 are each described as notably above typical national volume or similarly elevated percentiles. This pattern suggests unusually high specimen counts for routine phlebotomy and common panel testing rather than focusing on rare or highly specialized assays.

    The breadth of assays billed — from basic panels (80048, 80053, 80061) to endocrine (84443, 84439), hematology (85025, 85027), vitamin and mineral testing (82306, 82607, 82728), and cardiac markers (83880) — indicates a full‑service clinical lab footprint capable of handling general diagnostic testing for primary care and chronic disease management. The presence of both screening codes like G0103 and monitoring codes like 83036 (A1C) suggests the lab population includes preventive and chronic care populations.

    Tenure in the Medicare program is long: the NPI was enumerated on 2006-10-13 (~20 years ago), indicating sustained presence in Medicare billing which may support established ordering relationships with local clinicians and stable operational workflows. Longevity combined with high volume on routine tests strengthens the interpretation that this is an established lab provider rather than a recent entrant.

    From a contracting and utilization-management perspective, the concentration in a few high‑revenue panels and very high specimen volumes for basic venipuncture (36415) and common assays (80061, 80053, 83036) suggests areas to target for price negotiation, utilization review, or network adequacy assessment. Absent Medicaid billing on file, any state‑level coverage or payment considerations will be driven by Medicare patterns and any out‑of‑scope commercial arrangements not visible in this dataset.

    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.

    104 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.23,090$10$300.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.27,030$10$270.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…16,520$20$264.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.29,960$10$239.7K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…5,410$30$156.9K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…13,940$10$139.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…16,720$10$133.8K
    G0103Prostate cancer screening; prostate specific antigen test (psa)3,430$20$65.2K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.1,380$40$55.4K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…6,380$10$51K

    Showing 1–10 of 104

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 104 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    104 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003310330$70$96.6K
    88305161240620$30$50.2K
    87077510770$10$12.6K
    87086183060$10$11.6K
    88341116140290$30$10.5K
    8830754130120$60$8.5K
    860031101,720$10$8.2K
    88342119160130$40$8.1K
    83970360130$40$7.9K
    84402610110$20$7.5K

    Showing 1–10 of 104

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$2.9M
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$2.8M
    Susan YonceSCFamily Nurse Practitioner$2.3M$0
    Roper Saint Francis Physicians NetworkSCFamily Medicine Physician$0$1.7M
    Coastal Carolina Pathology, PANCClinical Medical Laboratory$1.2M$229.8K
    Roper Saint Francis Physicians NetworkSCClinical Medical Laboratory$40.4K$1.3M
    Daniel ZedekNCDermatopathology (Pathology) Physician$998.9K$0
    Kathryn ConnerSCMedical Physician Assistant$904.3K$0
    Charleston Pathology, P.A.SCClinical Medical Laboratory$248.5K$385.5K
    Stephen RameySCRadiation Oncology Physician$608K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kool Smiles Sc-2, PCSCGeneral Practice Dentistry$0$28.5M
    Agape Hospice Of The Lowcountry LLCSCCommunity Based Hospice Care Agency$0$23.7M
    Charleston County GovernmentSCLand Ambulance$4.1M$7.6M
    Charleston County GovernmentSCSubstance Abuse Rehabilitation Facility$62.3K$11M
    Lowcountry Nursing Group LLCSCNursing Care Agency$0$7.9M
    Curana Health Of South Carolina PCSCInternal Medicine Physician$0$6.4M
    Lifeguard Ambulance Service LLCSCLand Ambulance$2.1M$651.1K
    Steven Lopez Psychiatric ServicesSCPsychiatry Physician$0$2.2M
    Center For Behavioral Health South Carolina LLCSCMethadone Clinic$145.2K$2M
    Michael SamirateduSCNephrology Physician$262K$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
    Danyel Mcevoy — 24 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina