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    OpenPayerNPI Medicare & MedicaidMatthew Barnes
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    Matthew Barnes — Billing Profile & Reimbursement Data

    NPI 1699118133 · Greenville, SC · Gastroenterology Physician

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    Matthew Barnes is a gastroenterology physician provider located in Greenville, South Carolina. This profile covers 19 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
    OrganizationMatthew Barnes
    Address125 Halton Rd Ste 200
    CityGreenville
    StateSC
    ZIP29607
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 15, 2013

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

    Payer SourceTotal Paid
    Medicare$102.6K
    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.

    19 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…220$90$19.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$190$14.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$70$9.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…80$110$8.3K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…320$20$7.8K
    99204The provider sees a new 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 provider…80$100$7.6K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…150$50$7.4K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…80$60$4.8K
    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…80$50$4.5K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…30$140$4.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305172240620$30$50.2K
    4538514527090$270$36.9K
    992143,1797,860160$80$23.2K
    4538010926060$170$18.9K
    432398827090$120$16.1K
    G010513517040$260$16K
    43450368050$140$12.6K
    992322,5252,78090$60$12K
    992134,1317,690100$60$10.8K
    G012112716030$250$9.9K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James GouldMOSpecialist$1.6M$0
    Claude YarboroughSCGastroenterology Physician$132.8K$0
    Stephen BrackbillSCGastroenterology Physician$128.4K$0
    David PalmaSCGastroenterology Physician$99.1K$0
    Lance HudsonSCCertified Registered Nurse Anesthetist$94K$0
    Lisa RiddleSCCertified Registered Nurse Anesthetist$82.2K$0
    Michael FlynnSCCertified Registered Nurse Anesthetist$69.4K$0
    Ronald EslickSCCertified Registered Nurse Anesthetist$68K$0
    Ellen NormanSCMedical Physician Assistant$62.1K$0
    Matthew StroudSCCertified Registered Nurse Anesthetist$47.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$171.7M
    Greenville County Disabilities And Special Needs BoardSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$51.7M
    Heart Of The Carolinas Medical Supply, LLCSCNursing Care Agency$0$36.4M
    Caris Healthcare LLCSCCommunity Based Hospice Care Agency$0$36.3M
    Greenville County Commission On Alcohol And Drug AbuseSCSubstance Use Disorder Rehabilitation Clinic/Center$0$12.7M
    St. Francis Hospital IncSCGeneral Acute Care Hospital$0$9M
    Tribe513, P.A.SCPediatric Adolescent Medicine Physician$0$8.6M
    Luxor Scientific, LLCSCClinical Medical Laboratory$2.2M$5.6M
    Pleasantburg Drive Dental Health Center, P.C.SCGeneral Practice Dentistry$0$6.5M
    Inspirium Ihc Upstate, LLCSCHome Health Agency$0$6.4M

    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
    Matthew Barnes — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina