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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Lencke
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    Mark Lencke — Billing Profile & Reimbursement Data

    NPI 1720099005 · West Columbia, SC · Neurology Physician

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    Mark Lencke is a neurology physician provider located in West Columbia, South Carolina. This profile covers 10 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
    OrganizationMark Lencke
    Address146 E Hospital Dr Ste 120a
    CityWest Columbia
    StateSC
    ZIP29169
    TaxonomyNeurology Physician
    NPI EnumeratedAugust 11, 2006

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

    Payer SourceTotal Paid
    Medicare$190.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$110$54.1K
    J0585Injection, onabotulinumtoxina, 1 unit10,700$10$53.5K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…150$150$23.3K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…320$70$23.2K
    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…230$60$14.5K
    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…130$90$11.1K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…20$290$5.1K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…40$120$4.6K
    95909In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…20$90$1.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058531907,800$1$60.8K
    992144,4027,860160$80$23.2K
    992131,8617,690100$60$10.8K
    95886910090$70$9.8K
    9591146040$140$8.8K
    64615223050$100$7.9K
    95816577040$110$7K
    9920484,52040$110$6.4K
    95909396040$90$4.6K
    364151,0082,090140$10$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lexington Health IncSCGeneral Acute Care Hospital$0$27.4M
    Lexington County Health Services District IncSCGeneral Acute Care Hospital$0$19.2M
    Lexington Health IncSCUrgent Care Clinic/Center$0$8.7M
    Lexington Health IncSCPediatric Adolescent Medicine Physician$0$5.7M
    Lexington Health IncSCEmergency Medicine Physician$0$4.2M
    Lexington County Health ServSCGeneral Acute Care Hospital$0$4M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Lexington Health IncSCFamily Medicine Physician$0$4M
    Lexington Health IncSCObstetrics & Gynecology Physician$0$3.5M
    Vijaya KorrapatiSCHematology & Oncology Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    United Cerebral Palsy Of South Carolina, IncSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$15.7M
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    Karen Park Family Dentistry, P.A.SCDentist$0$4.2M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Lexington Treatment Specialists LLCSCMethadone Clinic$76.7K$3.6M
    Perrie RyanSCHematology & Oncology Physician$3.3M$0
    William ClarkSCOphthalmology Physician$3.3M$0
    Asheesh LalSCHematology & Oncology Physician$3.2M$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Mark Lencke — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina