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    OpenPayerNPI Medicare & MedicaidRachel Gay
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    Rachel Gay — Billing Profile & Reimbursement Data

    NPI 1679295315 · Aiken, SC · Family Nurse Practitioner

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    Rachel Gay is a family nurse practitioner provider located in Aiken, South Carolina. This profile covers 15 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
    OrganizationRachel Gay
    Address526 Richland Ave W
    CityAiken
    StateSC
    ZIP29801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 19, 2022

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

    Payer SourceTotal Paid
    Medicare$92.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…420$80$33.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…650$40$26K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…310$30$9.6K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.310$30$9.3K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…110$30$3.2K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…30$110$3.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.230$10$1.8K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…80$20$1.8K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral20$50$1.1K
    G0008Administration of influenza virus vaccine40$30$1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,8137,860160$80$23.2K
    994905465080$40$8.9K
    994542114080$30$5.5K
    994571215050$30$4.6K
    95921152030$60$4.1K
    9525072020$100$3.4K
    994398841050$30$3.4K
    952515290110$20$3.3K
    G00081,5272,33060$30$3.1K
    364157642,090140$10$2.7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ray VaughtersSCEndocrinology, Diabetes & Metabolism Physician$412K$5.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-development Center Of Aiken County, Inc.SCCognitive & Behavioral Psychologist$0$39.6M
    Aiken Regional Medical Centers LLCSCGeneral Acute Care Hospital$0$31.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Sound Physicians Emergency Medicine Of South Carolina LLCSCEmergency Medicine Physician$0$14.2M
    Regency Hospice Of Georgia, LLCSCCommunity Based Hospice Care Agency$0$12M
    Rural Health Services, IncSCFederally Qualified Health Center (FQHC)$0$10.3M
    Children's Place, IncSCCommunity/Behavioral Health Agency$0$6.8M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$6.6M
    Aiken CountySCAmbulance$1.1M$2.4M
    Aiken Dental AssociatesSCGeneral Practice Dentistry$0$3.3M

    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
    Rachel Gay — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina