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    OpenPayerNPI Medicare & MedicaidMichael Boler
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    Michael Boler — Billing Profile & Reimbursement Data

    NPI 1023305687 · Tupelo, MS · Cardiovascular Disease Physician

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    Michael Boler is a cardiovascular disease physician provider located in Tupelo, Mississippi. This profile covers 33 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
    OrganizationMichael Boler
    Address499 Gloster Creek Vlg Ste A2
    CityTupelo
    StateMS
    ZIP38801
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 5, 2011

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

    Payer SourceTotal Paid
    Medicare$191.1K
    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.

    33 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…750$60$41.9K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…60$400$21.9K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…120$180$21K
    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…130$110$14.3K
    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…140$80$12K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…20$540$11.9K
    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…110$100$10.9K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…40$210$7.2K
    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…100$60$5.7K
    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…620$10$5.6K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306138210290$80$27.8K
    J27856870410$40$22K
    992142,2004,110170$70$21.9K
    99233938970110$90$21.7K
    7845211613070$160$16.7K
    92928137030$390$15.1K
    33361153020$540$14.1K
    992327461,490100$60$12.9K
    93458810050$210$11.9K
    992131864,000100$50$10.3K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Medical Center, Inc.MSGeneral Acute Care Hospital$0$117.7M
    Monroe Health Services, Inc.MSGeneral Acute Care Hospital$0$16.4M
    Webster Health Services, Inc.MSRural Health Clinic/Center$0$2.8M
    Cardiology Associates Of North Ms PAMSCardiovascular Disease Physician$0$1.9M
    William CarrollMSCardiovascular Disease Physician$1.1M$0
    John EstessMSCardiovascular Disease Physician$953.3K$0
    Marion Regional Medical Center, Inc.ALGeneral Acute Care Hospital$0$917.1K
    William CalhounMSCardiovascular Disease Physician$861.1K$0
    Douglas HillMSCardiovascular Disease Physician$777.8K$0
    James JohnsonMSCardiovascular Disease Physician$708.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Michael Boler — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi