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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffery Settles
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    Jeffery Settles — Billing Profile & Reimbursement Data

    NPI 1770780132 · Columbia, SC · Diagnostic Radiology Physician

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    Jeffery Settles is a diagnostic radiology physician provider located in Columbia, South Carolina. This profile covers 51 Medicare and 10 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
    OrganizationJeffery Settles
    Address1241 Assembly St Ste B
    CityColumbia
    StateSC
    ZIP29201
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 29, 2007

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

    Payer SourceTotal Paid
    Medicare$158.3K
    Medicaid$35.3K

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.940$30$27.1K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.380$50$19.9K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…190$80$14.5K
    70498The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…240$60$13.6K
    70496The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…230$60$13.3K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.210$50$10.9K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,410$10$8.5K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.190$30$6.5K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.80$50$4.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…590$10$4.1K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177315400130$80$13K
    705533922050$110$10.4K
    9388019336060$80$8.2K
    721483633050$80$7.6K
    704503360180$30$6.9K
    7417626940070$70$5.7K
    70551325050$70$5K
    721413823040$80$3.9K
    70496320040$70$3.9K
    7104525360480$10$3.8K

    Showing 1–10 of 51

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.430$30$14.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,050$10$7.3K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…500$10$4.5K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…70$50$3.5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.40$60$2.4K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.40$60$2.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…30$20$790
    G9551Final reports for imaging studies without an incidentally found lesion noted30$0$0
    G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found70$0$0
    G9637Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction…370$0$0

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…4060170$430$434.9K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.355090$220$222.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.1041302,060$30$112.5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.376070$320$96.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1041802,270$10$64.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…128260420$20$58.1K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…81100260$40$47.4K
    G9551Final reports for imaging studies without an incidentally found lesion noted11030$0$0
    G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found11070$0$0
    G9637Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction…210250$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcv Associated PhysiciansVAAnesthesiology Physician$0$99M
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Augusta Health Care, IncVAGeneral Acute Care Hospital$0$63.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Augusta Medical GroupVAGeneral Practice Physician$0$12.6M
    University Of Louisville Research FoundationKYFamily Medicine Physician$0$9.3M
    Foundation Radiology Group PCPADiagnostic Radiology Physician$0$8.8M
    Medical Scanning Consultants PAMNDiagnostic Radiology Physician$0$7.5M
    Guthrie Medical Group PCPAClinical Medical Laboratory$2.1M$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Care, PASCFamily Medicine Physician$0$50.7M
    Robertson Optical Laboratories IncSCEyewear Supplier$0$13.5M
    Dhec Hemophilia-cshcn ProgramSCPharmacy$0$13.3M
    Addus Healthcare (south Carolina), Inc.SCIn Home Supportive Care Agency$0$12.1M
    Pruitthealth Hospice, Inc.SCInpatient Hospice$0$11.8M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$11.8M
    State Of South CarolinaSCPublic Health or Welfare Agency$0$10.4M
    South Carolina Dept Of Mental Health Accounting OfficeSCCommunity/Behavioral Health Agency$0$8.8M
    Palladium Hospice And Palliative Care, LLCSCCommunity Based Hospice Care Agency$0$8.2M
    Lutheran Family Services In The CarolinasSCCommunity/Behavioral Health Agency$0$7.8M

    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
    Jeffery Settles — 6 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Jeffery Settles — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina