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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Stem
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    Eric Stem — Billing Profile & Reimbursement Data

    NPI 1831100064 · Charleston, SC · Sports Medicine (Orthopaedic Surgery) Physician

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    Eric Stem is a sports medicine (orthopaedic surgery) physician provider located in Charleston, South Carolina. This profile covers 25 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
    OrganizationEric Stem
    Address2880 Tricom St
    CityCharleston
    StateSC
    ZIP29406
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedAugust 11, 2006

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

    Payer SourceTotal Paid
    Medicare$338.1K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$960$67.9K
    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…870$60$54.1K
    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…540$90$47.6K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$960$39.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…670$50$32.7K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg3,660$10$18.3K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.450$30$12.6K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose130$100$12.1K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…20$360$7.6K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.80$100$7.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274476222040$1,090$61.9K
    271306415040$1,060$44.7K
    992141,2897,860160$80$23.2K
    J731823702,160$10$15.9K
    2988082020$710$15.6K
    J7323269080$100$13.2K
    992132577,690100$60$10.8K
    7214826233050$80$7.6K
    206102381070$50$7.3K
    992042,1674,52040$110$6.4K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James O'learySCSports Medicine (Orthopaedic Surgery) Physician$510.5K$0
    Richard ZimlichSCOrthopaedic Surgery Physician$383.3K$0
    Christopher MerrellSCPhysical Medicine & Rehabilitation Physician$358.2K$0
    Slif UlrichSCAdult Reconstructive Orthopaedic Surgery Physician$307K$0
    Christopher BattistaSCOrthopaedic Surgery Physician$289.9K$0
    Daniel NemethSCPhysical Medicine & Rehabilitation Physician$266.3K$0
    Sabino D'agostinoSCNeurological Surgery Physician$230.3K$0
    James SpearmanSCSports Medicine (Orthopaedic Surgery) Physician$166.5K$0
    Adam SchaafSCOrthopaedic Surgery Physician$141.4K$0
    David JaskwhichSCSports Medicine (Orthopaedic Surgery) Physician$128K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$55.8M
    Sweetgrass PediatricsSCPediatrics Physician$0$37.1M
    Trident Ambulatory Surgery Center, L.P.SCAmbulatory Surgical Clinic/Center$1M$10.9M
    Palmetto Pediatrics, PASCPediatrics Physician$0$9M
    Taylor Consultants, LLCSCCase Manager/Care Coordinator$0$7.5M
    Charleston Children's Therapy Center, LLCSCPediatric Physical Therapist$0$5.7M
    Trident Medical Center, LLCSCGeneral Acute Care Hospital$0$4.1M
    Med-trans CorporationSCAir Ambulance$292K$3.6M
    Oral Surgery Of South Carolina LLCSCOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Crossroads Treatment Center Of Charleston, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$153.1K$3.2M

    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
    Eric Stem — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina