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    OpenPayerNPI Medicare & MedicaidDieter Pohl
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    Dieter Pohl — Billing Profile & Reimbursement Data

    NPI 1073535183 · Johnston, RI · Surgery Physician

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    Dieter Pohl is a surgery physician provider located in Johnston, Rhode Island. This profile covers 3 Medicare and 20 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
    OrganizationDieter Pohl
    AddressRhode Island Surgeons Inc
    CityJohnston
    StateRI
    ZIP02919
    TaxonomySurgery Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicaid$107K
    Medicare$4K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$120$2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$110$1.2K
    91010The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.20$50$770

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921544946030$110$5.7K
    9920454874030$110$4.6K
    9101021030$50$1.6K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…270$140$37.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…220$100$21.7K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…110$90$9.4K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.210$30$5.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.240$20$4.9K
    84207The lab analyst performs a test to evaluate the level of pyridoxal phosphate, also called PLP, or vitamin B6, in a patient specimen such as plasma.120$40$4.5K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…390$10$4.3K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…90$40$3.8K
    84252The lab analyst performs a test to measure riboflavin, or vitamin B2, typically in patient blood.120$30$3.6K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.220$10$2.4K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…4311070$70$157.8K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…4910070$40$129K
    93005The 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…6380120$80$124.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.58140140$30$99.7K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…53100120$40$93K
    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…1,5741,730220$70$75.2K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.2650220$30$55.5K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…2780120$20$55.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…4516090$110$54.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…120130260$30$52K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Chartercare Physicians, LLCRIInternal Medicine Physician$0$2.3M
    Ralph SantoroRIInternal Medicine Physician$66.2K$2.1M
    Thomas RoccoRISurgery Physician$92.7K$558.4K
    Douglas HeinerUTProcedural Dermatology Physician$530K$0
    Alison FischerOKDermatology Physician$490.5K$25.2K
    Tatiana AntociRIFamily Medicine Physician$95.7K$349.7K
    Holli BrousseauRIAcute Care Nurse Practitioner$2.9K$368.8K
    Hua ZhouRIDermatology Physician$171K$78.6K
    Sumit DasRISpecialist$163.1K$67.2K
    Courtney CsikeszMADermatology Physician$229.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Comfort LLCRIHome Health Agency$0$18.7M
    The Journey To Hope, Health & Healing, IncRIMethadone Clinic$0$16.8M
    Tri-county Community Action AgencyRIFederally Qualified Health Center (FQHC)$0$7.4M
    Absolute Respiratory Care LLCRIOxygen Equipment & Supplies (DME)$0$6.4M
    Ocean State Behavioral Health, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$5.6M
    Fredrick McmillenRIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Svetlo IncRIAdult Day Care Clinic/Center$0$4.8M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Barrett NordstromRIOrthodontics and Dentofacial Orthopedics Dentistry$0$3.9M
    Atmed Treatment Center, Inc.RIInternal Medicine Physician$0$3.1M

    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. Rhode Island Distribution
    Dieter Pohl — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Dieter Pohl — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island