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    OpenPayerNPI Medicare & MedicaidBon Secours Medical Group Greenville Specialty Car…
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    Bon Secours Medical Group Greenville Specialty Care LLC — Billing Profile & Reimbursement Data

    NPI 1821679580 · Greenville, SC · Cardiovascular Disease Physician

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    Bon Secours Medical Group Greenville Specialty Care LLC is a cardiovascular disease physician provider located in Greenville, South Carolina. This profile covers 0 Medicare and 54 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 TypeOrganization
    OrganizationBon Secours Medical Group Greenville Specialty Care LLC
    Address1 Saint Francis Dr
    CityGreenville
    StateSC
    ZIP29601
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 15, 2021

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

    Payer SourceTotal Paid
    Medicaid$2.1M
    Medicare$0

    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.

    54 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…13,660$60$751.1K
    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…11,960$50$586.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…2,380$70$171.4K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.1,960$70$143.2K
    76825The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.700$180$123.7K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.1,300$60$74.2K
    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…870$70$61.6K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…530$110$60.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…190$140$27.6K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.6,310$1$25.2K

    Showing 1–10 of 54

    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

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…641650800$120$413.8K
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…1840510$170$302.7K
    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…1872,770210$60$254.5K
    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…1212,480350$80$246K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.2660350$190$230.8K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.18100240$100$187.3K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.1770150$70$156.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…119140690$80$153.6K
    76825The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.510220$180$136.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…208230430$40$129.9K

    Showing 1–10 of 54

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bon Secours Medical Group Greenville Specialty Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Muthamma MachimadaSCRheumatology Physician$530.9K$0
    James JenningsSCAdult Reconstructive Orthopaedic Surgery Physician$441.9K$0
    A. Thomas SiachosSCCardiovascular Disease Physician$429.2K$0
    Edward StewartSCCardiovascular Disease Physician$420.4K$0
    Matthew SellersSCClinical Cardiac Electrophysiology Physician$417K$0
    Dylan WatsonSCOrthopaedic Surgery Physician$365.9K$0
    Jennifer MartinSCPhysical Medicine & Rehabilitation Physician$341.7K$0
    Jon BittrickSCCardiovascular Disease Physician$340.4K$0
    James MerriamSCCardiovascular Disease Physician$332.5K$0
    Lynwood HollisSCPhysical Medicine & Rehabilitation Physician$329.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Bon Secours Medical Group Greenville Specialty Care LLC, 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$61.9M
    Prisma Health-upstateSCDevelopmental Disabilities Clinic/Center$0$19.7M
    St Francis Hospital IncSCGeneral Acute Care Hospital$0$17.8M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$13.8M
    County Of GreenvilleSCLand Ambulance$4.2M$9.2M
    Greenville Proaxis Therapy, LLCSCPhysical Therapist$0$7.9M
    Carolina Family Services, Inc.SCCommunity/Behavioral Health Agency$0$5.5M
    Ahead Start LLCSCEarly Intervention Provider Agency$0$4.5M
    Greenville Health SystemSCMedically Fragile Infants and Children Day Care$0$4.2M
    Vituity-south Carolina LLCSCEmergency Medicine Physician$0$4.1M

    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.

    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Bon Secours Medical Group Greenville Specialty Care LLC — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina