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    OpenPayerNPI Medicare & MedicaidFrancis Mcgovern
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    Francis Mcgovern — Billing Profile & Reimbursement Data

    NPI 1124092853 · Boston, MA · Urology Physician

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    Francis Mcgovern is a urology physician provider located in Boston, Massachusetts. This profile covers 13 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
    OrganizationFrancis Mcgovern
    Address1 Hawthorne Pl
    CityBoston
    StateMA
    ZIP02114
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$193K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…450$210$91.7K
    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…650$70$45.2K
    55840The provider removes all of the prostate and some of the surrounding structures using a retropubic approach; he may or may not spare the nerve supply.30$920$26.8K
    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…60$130$8.2K
    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…60$110$6.1K
    52234The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$200$4.3K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$140$3.3K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…30$80$2.2K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…610$1$1.8K
    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…20$80$1.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5584011030$920$26.8K
    52000224090$170$17.6K
    9921410,48715,410110$80$15.6K
    9921342013,70070$60$8.8K
    5223421010$380$6.1K
    992041,3715,87030$120$5.6K
    51720475050$70$4.9K
    992033,1274,29030$80$4.1K
    523323711020$130$3.2K
    992121,9762,66030$40$2.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Katherine HavanidisMAWomen's Health Nurse Practitioner$74.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Massachusetts Eye And Ear InfirmaryMAGeneral Acute Care Hospital$0$68.1M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Bay Cove Human Services, IncMACommunity/Behavioral Health Agency$630.5K$36.4M
    Jewish Family & Children's ServiceMACase Management Agency$0$12.5M
    Commonwealth Of MassachusettsMACase Management Agency$0$10.4M
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Massachusetts Eye And Ear Associates, Inc.MAOphthalmology Physician$0$6.6M
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Francis Mcgovern — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts