Loading...
NPI 1669495917 · Winnsboro, SC · Family Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Roger Gaddy is a family medicine physician provider located in Winnsboro, South Carolina. This profile covers 36 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Roger Gaddy |
| Address | 880 W Moultrie St |
| City | Winnsboro |
| State | SC |
| ZIP | 29180 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $124.5K |
| Medicaid | $1.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,340 | $20 | $42.1K |
| 84443 | The 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… | 700 | $20 | $11.1K |
| 0241U | N/A | 80 | $110 | $8.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 660 | $10 | $8.5K |
| 80053 | The 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. | 710 | $10 | $7.1K |
| 85025 | A 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… | 760 | $10 | $6.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 600 | $10 | $4.8K |
| 77080 | The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient… | 110 | $30 | $3.7K |
| 82043 | The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable… | 610 | $10 | $3.6K |
| 83036 | Sugar 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).… | 340 | $10 | $3K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 124 | 250 | 2,400 | $20 | $91.2K |
| 93306 | 387 | 450 | 230 | $80 | $23.9K |
| 0241U | 11 | 100 | 30 | $140 | $13.7K |
| 99213 | 5,529 | 7,690 | 100 | $60 | $10.8K |
| 99458 | 34 | 50 | 60 | $30 | $9.5K |
| 93880 | 342 | 360 | 60 | $80 | $8.2K |
| 80061 | 49 | 370 | 150 | $10 | $6.7K |
| 84443 | 27 | 340 | 130 | $20 | $6.7K |
| 80053 | 51 | 360 | 120 | $10 | $6.6K |
| 99454 | 135 | 140 | 80 | $30 | $5.5K |
Showing 1–10 of 36
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 70 | $20 | $1.5K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 60 | $0 | $0 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 166 | 270 | 120 | $50 | $93.2K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 20 | 50 | 50 | $1 | $20 |
Other providers in the same ZIP code as Roger Gaddy, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fairfield County Disabilities And Special Needs Board | SC | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $12.9M |
| Acsr, Inc. | SC | Adult Day Care Clinic/Center | $0 | $1.8M |
| Fairfield County Emergency Services | SC | Land Ambulance | $291.8K | $727K |
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.