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    OpenPayerNPI Medicare & MedicaidDouglas Mitchell Mcconnell
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    Douglas Mitchell Mcconnell — Billing Profile & Reimbursement Data

    NPI 1669494811 · Columbia, SC · Neuroradiology Physician

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    Douglas Mitchell Mcconnell is a neuroradiology physician provider located in Columbia, South Carolina. This profile covers 55 Medicare and 1 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
    OrganizationDouglas Mitchell Mcconnell
    Address1519 Marion St
    CityColumbia
    StateSC
    ZIP29201
    TaxonomyNeuroradiology Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$117.4K
    Medicaid$130

    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.

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…230$80$19.2K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.480$30$14.5K
    70496The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…130$60$8.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,150$10$8K
    70498The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…130$60$7.7K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.130$50$6.7K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.90$50$4.4K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.100$40$3.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…450$10$3.1K
    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.50$60$3.1K

    Showing 1–10 of 55

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    55 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177302400130$80$13K
    705532522050$110$10.4K
    7214810933050$80$7.6K
    7045043360180$30$6.9K
    7417629140070$70$5.7K
    7127521330070$70$5.5K
    705514025050$70$5K
    7125029437070$40$4.7K
    7126029834070$40$4.4K
    721417823040$80$3.9K

    Showing 1–10 of 55

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$10$120

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…221260420$20$58.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pitts Radiological Associates, P.A.SCDiagnostic Radiology Physician$0$1.8M
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Peter PiampianoTNDiagnostic Radiology Physician$254.4K$20.1K
    Sean FeinbergILDiagnostic Radiology Physician$243.7K$0
    Kevin MarcumFLDiagnostic Radiology Physician$243.6K$0
    Andrew CiccarelliMADiagnostic Radiology Physician$220.1K$0
    Wesley ConwellSCDiagnostic Radiology Physician$203K$0
    Charles HubbardSCDiagnostic Radiology Physician$200.4K$0
    Vladimir StarcevicSCDiagnostic Radiology Physician$177.3K$0
    Kevin GibbsSCDiagnostic Radiology Physician$169.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Douglas Mitchell Mcconnell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Care, PASCFamily Medicine Physician$0$50.7M
    Robertson Optical Laboratories IncSCEyewear Supplier$0$13.5M
    Dhec Hemophilia-cshcn ProgramSCPharmacy$0$13.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$12.1M
    Pruitthealth Hospice, Inc.SCInpatient Hospice$0$11.8M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$11.8M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$10.4M
    South Carolina Dept Of Mental Health Accounting OfficeSCCommunity/Behavioral Health Agency$0$8.8M
    Palladium Hospice And Palliative Care, LLCSCCommunity Based Hospice Care Agency$0$8.2M
    Lutheran Family Services In The CarolinasSCCommunity/Behavioral Health Agency$0$7.8M

    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
    Douglas Mitchell Mcconnell — 2 of 25 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
    Douglas Mitchell Mcconnell — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina