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    OpenPayerNPI Medicare & MedicaidAdam Duhl
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    Adam Duhl — Billing Profile & Reimbursement Data

    NPI 1073715108 · Edison, NJ · Maternal & Fetal Medicine Physician

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    Adam Duhl is a maternal & fetal medicine physician provider located in Edison, New Jersey. This profile covers 6 Medicare and 21 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
    OrganizationAdam Duhl
    Address98 James St
    CityEdison
    StateNJ
    ZIP08820
    TaxonomyMaternal & Fetal Medicine Physician
    NPI EnumeratedJune 1, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$128.8K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…190$240$44.6K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.360$110$39.1K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…370$90$33.2K
    93976The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…70$130$8.9K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…30$50$1.7K
    76376In this procedure, the provider performs 3D rendering for computed tomography magnetic resonance imaging, ultrasound, or another tomographic modality, typically for diagnostic purposes, with…60$20$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93975613020$200$7.8K
    939761711020$80$3.7K
    76856839030$70$3.7K
    76830137020$80$2.7K
    7677527449040$40$2.4K
    76376148020$10$360

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…3,270$160$532.4K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.2,770$70$185.8K
    76821The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…2,120$60$129.4K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…2,440$50$109.7K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.1,150$90$104.3K
    76820The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…2,540$30$83.8K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.1,110$70$72.2K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.730$70$49.7K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…540$90$47.2K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…750$50$37.5K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…6590980$230$347.2K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.521001,110$80$274.8K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.711401,230$70$260.9K
    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…2,6003,790580$60$204K
    76817The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.34180510$80$162.3K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.123260660$90$136.8K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…990270$120$135.3K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…8890490$110$131.9K
    76801In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…56130420$80$115.6K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…95240430$80$111.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of Mississippi - University Of Mississippi Medical CenterMSGeneral Acute Care Hospital$0$507.2M
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$333.3M
    Adventist Health System-sunbelt, IncFLGeneral Acute Care Hospital$0$173.7M
    Franciscan Physician NetworkINFamily Medicine Physician$0$105.4M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Florida Hospital Medical Group IncFLFamily Medicine Physician$0$71.2M
    Adventist Health System Sunbelt, Inc.FLUrgent Care Clinic/Center$0$67.5M
    Hackensack Meridian Health Medical Group - Specialty Care PCNJSurgical Critical Care Physician$0$50.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Adventist Health System-sunbelt, IncFLClinical Medical Laboratory$0$28.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$72.1M
    Community Hospital Group IncNJGeneral Acute Care Hospital$0$71.5M
    Sewa Adult Day Care LLCNJAdult Care Home Facility$0$26.3M
    Nirvana Adult Day Care LLCNJAdult Day Care Clinic/Center$0$23.4M
    Golden Era Medical Adult Day Care LLCNJAdult Day Care Clinic/Center$0$19.3M
    Edison Adult Day Care Center, LLCNJAdult Day Care Clinic/Center$0$16.9M
    Care Forever Adult Day Care Center LLCNJAdult Day Care Clinic/Center$0$13.6M
    Rnj Services, IncNJClinical Medical Laboratory$5.8M$7.5M
    Avantic Medical LabNJClinical Medical Laboratory$604.6K$5.7M
    Q Answer Lab IncNJClinical Medical Laboratory$1.6M$2.7M

    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. New Jersey Distribution
    Adam Duhl — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Adam Duhl — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey