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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMclean Sheperd
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    Mclean Sheperd — Billing Profile & Reimbursement Data

    NPI 1689617128 · Mt Pleasant, SC · Dermatology Physician

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    Mclean Sheperd is a dermatology physician provider located in Mt Pleasant, South Carolina. This profile covers 32 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
    OrganizationMclean Sheperd
    Address912 Old Georgetown Rd
    CityMt Pleasant
    StateSC
    ZIP29464
    TaxonomyDermatology Physician
    NPI EnumeratedJune 13, 2006

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

    Payer SourceTotal Paid
    Medicare$420.5K
    Medicaid$1.1K

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,560$60$88.6K
    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…710$90$59.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…810$70$54.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,430$30$45.9K
    11301The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.330$70$24.3K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…4,310$10$21.5K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.100$120$12K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.80$130$10.9K
    11300The provider removes one epidermal or dermal lesion of 0.5 cm diameter or less from the trunk, arms, or legs.210$50$10.6K
    11310The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.140$70$9.7K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148577,860160$80$23.2K
    11102208260220$60$16.7K
    1711011280140$70$15.2K
    1700010300340$30$15K
    120326613050$190$14.9K
    170044517050$110$12.7K
    11306224080$60$12.3K
    11307303080$70$11.2K
    99213667,690100$60$10.8K
    1131193040$70$8.2K

    Showing 1–10 of 32

    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
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…20$50$1.1K

    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
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,3742,770210$60$254.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen HammondSCDermatopathology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Therapy Services, Inc.SCSpeech-Language Pathologist$0$6.8M
    The Southeastern Spine Institute Ambulatory Surgery Center, LLCSCAmbulatory Surgical Clinic/Center$4M$0
    Bloom Children's TherapySCPediatric Occupational Therapist$0$3.5M
    Christopher MichaelisSCEmergency Medicine Physician$3.3M$0
    Carolina Family Care, IncSCClinical Medical Laboratory$1.8M$1.3M
    East Cooper Community Hospital, Inc.SCGeneral Acute Care Hospital$0$3M
    Allergy & Asthma Consultants, LLPSCAllergy & Immunology Physician$0$2.6M
    Francisco FolgarSCOphthalmology Physician$2.3M$0
    Amanda AcreeSCClinical Social Worker$0$2.3M
    Charleston Radiologists PASCDiagnostic Radiology Physician$0$2M

    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
    Mclean Sheperd — 3 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
    Mclean Sheperd — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina