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    OpenPayerNPI Medicare & MedicaidAlan Warren
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    Alan Warren — Billing Profile & Reimbursement Data

    NPI 1033100813 · St Clair Shores, MI · Podiatrist

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    Alan Warren is a podiatrist provider located in St Clair Shores, Michigan. This profile covers 15 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
    OrganizationAlan Warren
    Address24836 Harper Ave
    CitySt Clair Shores
    StateMI
    ZIP48080
    TaxonomyPodiatrist
    NPI EnumeratedNovember 2, 2005

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

    Payer SourceTotal Paid
    Medicare$139.1K
    Medicaid$19.7K

    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
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.440$80$34.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,050$30$33.7K
    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,…280$40$11.3K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…190$60$10.6K
    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…140$70$9.4K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…80$90$7.8K
    29515The provider applies a short leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the lower leg, ankle, and foot. The splint covers and immobilizes the lower leg…110$60$6.9K
    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…150$40$5.4K
    29580The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…100$50$4.8K
    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…60$80$4.2K

    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
    1172145550270$30$12.7K
    992133,55614,81060$60$6.6K
    993487647060$50$6.5K
    2951511080$60$4.7K
    11730216030$80$4.6K
    100601717020$90$4K
    993477821050$30$3.4K
    992031,0624,56030$70$3K
    9934210712020$60$2.6K
    2958086040$40$2.3K

    Showing 1–10 of 15

    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
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.310$60$17.8K
    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,…30$30$920
    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…10$60$740

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,9282,000260$60$84.2K
    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,…1,3601,690230$30$36.9K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.74050$50$8.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Clair Shores Mi Ophthalmology Asc LLCMIAmbulatory Surgical Clinic/Center$759.7K$0
    James KleinMIOphthalmology Physician$622.1K$0
    Richard PerryMISports Medicine (Orthopaedic Surgery) Physician$519.4K$0
    Thomas DavisMICardiovascular Disease Physician$321.9K$0
    Nicholas SchochMIOrthopaedic Surgery Physician$306.2K$0
    Benedict PelleritoMIOrthopaedic Surgery Physician$292.1K$0
    Andrew AjluniMIOrthopaedic Surgery Physician$250.7K$0
    Sailaja DatlaMIInternal Medicine Physician$249.4K$0
    Mark AlraisMIFamily Medicine Physician$244.6K$0
    Marc GosselinMICardiovascular Disease Physician$237.1K$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. Michigan Distribution
    Alan Warren — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Alan Warren — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan