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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPamela Gilmore
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    Pamela Gilmore — Billing Profile & Reimbursement Data

    NPI 1922564194 · Conway, SC · Nurse Practitioner

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    Pamela Gilmore is a nurse practitioner provider located in Conway, South Carolina. This profile covers 28 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
    OrganizationPamela Gilmore
    Address394 Singleton Ridge Rd
    CityConway
    StateSC
    ZIP29526
    TaxonomyNurse Practitioner
    NPI EnumeratedFebruary 13, 2019

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

    Payer SourceTotal Paid
    Medicare$184.9K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs100$520$50.6K
    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…580$50$29K
    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…360$70$24.8K
    J3315Injection, triptorelin pamoate, 3.75 mg80$290$23.7K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…490$20$8.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.830$10$6.7K
    J9030BCG live intravesical instillation, 1 mg3,000$1$6K
    11980The provider inserts hormone pellets subdermally, normally under the patient's arm skin.  These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal…100$50$5.3K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.210$30$5.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…460$10$3.2K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3490205070$510$57.7K
    992142,1197,860160$80$23.2K
    J331521080$290$22.3K
    992322,7332,78090$60$12K
    992135447,690100$60$10.8K
    992042,9064,52040$110$6.4K
    J90307301,350$1$4.3K
    1198021050$60$4.2K
    992032,2512,97030$70$3.9K
    84403157050$30$3.7K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John SylvesterFLRadiation Oncology Physician$2.5M$0
    Glenn GangiSCUrology Physician$858K$100
    Neal KhuranaSDVascular & Interventional Radiology Physician$704.3K$0
    Timothy GajewskiSCUrology Physician$554.7K$0
    Adam ColeARAnatomic Pathology & Clinical Pathology Physician$472.3K$0
    Melanie HopkinsSCAnatomic Pathology & Clinical Pathology Physician$440.5K$0
    Harvey PutnamSCPhysician Assistant$402.2K$0
    James FogartySCUrology Physician$382.9K$0
    Robert JansenSCUrology Physician$370.2K$0
    Richard YoungSCUrology Physician$369.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Pamela Gilmore, 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
    Conway Hospital, Inc.SCGeneral Acute Care Hospital$0$20.2M
    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
    Conway Hospital Emergency Professional ServicesSCEmergency Medicine Physician$0$6.1M
    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

    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
    Pamela Gilmore — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina