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    OpenPayerNPI Medicare & MedicaidAdam Mandel
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    Adam Mandel — Billing Profile & Reimbursement Data

    NPI 1942410048 · Little River, SC · Orthopaedic Surgery Physician

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    Adam Mandel is a orthopaedic surgery physician provider located in Little River, South Carolina. This profile covers 15 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
    OrganizationAdam Mandel
    Address3980 Highway 9 E Ste 200
    CityLittle River
    StateSC
    ZIP29566
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 23, 2007

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

    Payer SourceTotal Paid
    Medicare$76K
    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.

    15 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…440$60$27.4K
    99203The provider sees a new 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 provider…160$70$11.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.330$20$8K
    20604In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to…130$50$5.8K
    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…70$90$5.8K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.180$30$4.5K
    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…30$120$3.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$40$2.7K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg340$10$1.7K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…50$30$1.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,5367,860160$80$23.2K
    992138287,690100$60$10.8K
    992042,6694,52040$110$6.4K
    992031892,97030$70$3.9K
    2060432030$60$3.4K
    992124681,82030$30$2.5K
    2055017823040$40$2.2K
    J070256180140$10$2.2K
    206005814040$30$1.9K
    206056815030$40$1.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tyler YerkesDEPhysician Assistant$1.1M$0
    Wilson ChoyDEOrthopaedic Surgery Physician$402K$0
    Pasquale PetreraMDAdult Reconstructive Orthopaedic Surgery Physician$386.5K$0
    Henry MensackDEPhysician Assistant$385.9K$0
    Scott GelmanMDOrthopaedic Surgery Physician$331.8K$0
    James TraugerMDOrthopaedic Surgery Physician$314.2K$0
    Scott McgovernMDOrthopaedic Surgery of the Spine Physician$299.8K$0
    Amanda MooreDEPhysician Assistant$287.3K$0
    Paul HarriottDEOrthopaedic Surgery Physician$286.4K$0
    Jennifer HazzardDEPhysician Assistant$279.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Little River Medical Center IncSCFederally Qualified Health Center (FQHC)$0$8M
    Robert PrinziSCRetina Specialist (Ophthalmology) Physician$5.7M$0
    Little River Medical Center IncSCDentist$0$4M
    Mcleod Physician AssociatesSCObstetrics & Gynecology Physician$0$2.6M
    Sr Plus Behavior Consultants, Inc.SCBehavior Analyst$0$2.5M
    Elite Pain Management, LLCSCPain Medicine Physician$0$1.6M
    Timothy GajewskiSCUrology Physician$554.7K$0
    Alex McgaughySCOphthalmology Physician$543.4K$0
    Christopher WalshSCOrthopaedic Surgery Physician$470.1K$0
    Thirston PhillipsSCPhysical Medicine & Rehabilitation Physician$454.1K$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.

    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
    Adam Mandel — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina