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    OpenPayerNPI Medicare & MedicaidJohn Creel
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    John Creel — Billing Profile & Reimbursement Data

    NPI 1992708309 · Walterboro, SC · Family Medicine Physician

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    John Creel is a family medicine physician provider located in Walterboro, South Carolina. This profile covers 10 Medicare and 3 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
    OrganizationJohn Creel
    Address447 Spruce St
    CityWalterboro
    StateSC
    ZIP29488
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 31, 2005

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

    Payer SourceTotal Paid
    Medicaid$25.1K
    Medicare$2.6K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.40$20$700
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$570
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg530$1$530
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.20$20$380
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$140
    88738The lab analyst performs the technical lab test to measure the hemoglobin level in a patient transcutaneously, a method that does not puncture the skin. The result is a number.20$10$90
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…40$1$80
    J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg70$1$70
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.20$1$70
    J1885Injection, ketorolac tromethamine, per 15 mg240$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6921018928040$30$3.1K
    930001,1801,47030$10$1.5K
    8780449759050$20$1.2K
    878809257020$20$470
    J3301187710170$1$470
    8294710713050$1$340
    810038161,87040$1$200
    J342012430060$1$90
    8873811020$1$70
    J18851421060$1$40

    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.

    3 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…360$50$19.6K
    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…60$80$4.5K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.10$80$1K

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,2032,770210$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…1,8332,480350$80$246K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.354390100$100$148.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colleton County Board Of Disabilities And Special NeedsSCIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$16.7M
    Walterboro Community Hospital, Inc.SCGeneral Acute Care Hospital$0$11.8M
    Walterboro Family Practice Associates, P.A.SCFamily Medicine Physician$0$7M
    Colleton County School DistrictSCSpeech-Language Pathologist$0$3.1M
    Walterboro Adult & Pediatric Medicine, LLCSCRural Health Clinic/Center$0$2.2M
    Genesis Health Care, IncSCFederally Qualified Health Center (FQHC)$0$2.1M
    County Of ColletonSCAmbulance$518.9K$1.5M
    Genesis Healthcare, IncSCFederally Qualified Health Center (FQHC)$0$1.9M
    Beacon Respiratory Services Of Georgia, IncSCOxygen Equipment & Supplies (DME)$0$1.7M
    Med-trans CorporationSCAir Ambulance$544K$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
    John Creel — 0 of 9 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    John Creel — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina