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    OpenPayerNPI Medicare & MedicaidRobert Kodsi
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    Robert Kodsi — Billing Profile & Reimbursement Data

    NPI 1710979158 · Conway, SC · Gastroenterology Physician

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    Robert Kodsi is a gastroenterology physician provider located in Conway, South Carolina. This profile covers 17 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Kodsi
    Address2376 Cypress Cir Ste 203
    CityConway
    StateSC
    ZIP29526
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 22, 2005

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

    Payer SourceTotal Paid
    Medicare$216.3K
    Medicaid$6.1K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.330$90$29.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk140$220$29.2K
    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…160$150$23.7K
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.30$710$20.6K
    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…140$140$19.7K
    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…80$240$18.3K
    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…210$80$17.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…340$50$17.1K
    99203The provider sees a new 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 provider…110$90$9.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$220$9.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538521927090$270$36.9K
    9921419,4077,860160$80$23.2K
    4538010026060$170$18.9K
    432393727090$120$16.1K
    G01051517040$260$16K
    992137,2727,690100$60$10.8K
    G01214616030$250$9.9K
    91110173020$390$6.6K
    4537811220020$180$6.5K
    992045504,52040$110$6.4K

    Showing 1–10 of 17

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…140$20$3.3K
    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.40$70$2.9K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…330610190$50$98.4K
    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.80110180$60$33.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Conway Hospital, Inc.SCGeneral Acute Care Hospital$0$20.2M
    Conway Hospital Emergency Professional ServicesSCEmergency Medicine Physician$0$6.1M
    Conway Hospital IncSCPediatrics Physician$0$4.9M
    Conway Hospital, Inc.SCPediatrics Physician$0$2.9M
    Conway Hospital, Inc.SCObstetrics & Gynecology Physician$0$2.2M
    Victoriya StrukovaSCRheumatology Physician$624.4K$0
    Michael ZdunichSCMedical Physician Assistant$344.8K$0
    William PrenattSCFamily Medicine Physician$284K$1.3K
    Amudhan JyothidasanNCInterventional Cardiology Physician$235.4K$0
    Yumeng LiSCMOHS-Micrographic Surgery Physician$172.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$40.5M
    Horry County Disabilities & Special Needs BoardSCDevelopmentally Disabled Services Day Training Agency$0$25.7M
    Health Care Partners Of South Carolina, Inc.SCFederally Qualified Health Center (FQHC)$0$10.7M
    Carolina Radiology Associates LLCSCDiagnostic Radiology Physician$0$9.2M
    Horry County GovernmentSCLand Ambulance$4M$4.4M
    Coastal PediatricsSCPrimary Care Clinic/Center$0$5.1M
    Carolina Care Medical Supply LLCSCDurable Medical Equipment & Medical Supplies$0$4.9M
    Nicholas MarchaseSCOphthalmology Physician$4.1M$306.4K
    Horry County Comm On Alcohol & Drug AbuseSCCommunity/Behavioral Health Agency$0$4.2M
    Palmetto Pediatrics Of ConwaySCSpecialist$0$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
    Robert Kodsi — 2 of 17 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Robert Kodsi — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina