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    v1.0.28
    OpenPayerNPI Medicare & MedicaidT. Bouder
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    T. Bouder — Billing Profile & Reimbursement Data

    NPI 1043203318 · Winchester, VA · Critical Care Medicine (Internal Medicine) Physician

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    T. Bouder is a critical care medicine (internal medicine) physician provider located in Winchester, Virginia. This profile covers 8 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
    OrganizationT. Bouder
    Address1840 Amherst St
    CityWinchester
    StateVA
    ZIP22601
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedAugust 23, 2005

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

    Payer SourceTotal Paid
    Medicare$18K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.40$120$4.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$170$4.8K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…30$140$3.9K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.30$70$2.1K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.30$40$1.1K
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…10$50$660
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…10$40$420
    31623In this procedure, the provider uses a rigid or flexible bronchoscope for brushing or protected brushing, a procedure using a soft brush to gently wipe the lung tissue or to scrape a lesion. The…40$1$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992911,3241,95050$170$12.2K
    3162952020$130$3.6K
    3165272020$140$3.2K
    3162762020$80$2.1K
    31628112030$60$1.8K
    3165481030$50$1.7K
    31624486020$40$1.1K
    3162311020$10$110

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M
    James SlussVADiagnostic Radiology Physician$364K$90K
    Kumar PatelSCNeurology Physician$302K$0
    Brandon BarrettWACardiovascular Disease Physician$287.6K$0
    Manish LakhaniVACardiovascular Disease Physician$277.7K$0
    Idean AmirjazilVACardiovascular Disease Physician$251.4K$0
    Jeffrey SkilesVACardiovascular Disease Physician$250.5K$0
    Daniel HobbsVACardiovascular Disease Physician$243.3K$0
    Saif Al-najafiVACardiovascular 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. Virginia Distribution
    T. Bouder — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia