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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Copeland
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    Benjamin Copeland — Billing Profile & Reimbursement Data

    NPI 1114084548 · Indianapolis, IN · Otolaryngology Physician

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    Benjamin Copeland is a otolaryngology physician provider located in Indianapolis, Indiana. This profile covers 12 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
    OrganizationBenjamin Copeland
    Address5255 E Stop 11 Rd Ste 400
    CityIndianapolis
    StateIN
    ZIP46237
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$57.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…20$880$13.2K
    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…200$60$12K
    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…90$90$8.3K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.530$10$4.8K
    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…40$110$4.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.140$30$4K
    21235The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.20$210$3.6K
    69220The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.60$50$3.2K
    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…20$120$1.9K
    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…20$60$1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993031020$4,070$69.2K
    992145,94010,540110$80$15.5K
    951654480560$10$12.8K
    992132,22810,82080$50$7.6K
    992152,3002,73030$110$7.1K
    992041,8254,69030$100$4.9K
    2123511020$210$3.6K
    992032,5923,49030$70$3.1K
    9511785100190$10$3.1K
    6922021040$50$2.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Otolaryngology Associates, LLCINOtolaryngology Physician$0$3.1M
    Megan WoodINOtolaryngology Physician$120.1K$0
    John GoldenbergINOtolaryngology Physician$98.9K$0
    Jason GuttINOtolaryngology Physician$88.1K$0
    Clement McdonaldINOtolaryngology Physician$65.5K$0
    Valerie BallINOtolaryngology Physician$55.2K$0
    Maximillian NewellINOtolaryngology Physician$54.5K$0
    Michael AgostinoINOtolaryngology Physician$48.1K$0
    David FangINOtolaryngology Physician$39.6K$0
    Richard BiggerstaffINOtolaryngology Physician$28.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apria Healthcare LLCINDurable Medical Equipment & Medical Supplies$0$176.1M
    Franciscan Physician NetworkINFamily Medicine Physician$0$105.4M
    Franciscan Health Indianapolis & MooresvilleINGeneral Acute Care Hospital$0$41.3M
    Emergency Physicians Of Indianapolis, PCINEmergency Medicine Physician$0$15.2M
    Franciscan Health Indianapolis & MooresvilleINFamily Medicine Physician$0$6.8M
    Annette T. Farthing Dds, PCINPediatric Dentistry$0$5.5M
    Apria Healthcare LLCINDurable Medical Equipment & Medical Supplies$0$4.5M
    Global Smiles DentalINDentist$0$4.1M
    Kidz Dental Partners, LLCINPediatric Dentistry$0$2.6M
    Franciscan Surgery Center, LLCINAmbulatory Surgical Clinic/Center$1.2M$356K

    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. Indiana Distribution
    Benjamin Copeland — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana