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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Mcdougal
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    Jay Mcdougal — Billing Profile & Reimbursement Data

    NPI 1134402555 · Belpre, OH · Internal Medicine Physician

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    Jay Mcdougal is a internal medicine physician provider located in Belpre, Ohio. This profile covers 22 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
    OrganizationJay Mcdougal
    Address610 Washington Blvd
    CityBelpre
    StateOH
    ZIP45714
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 21, 2011

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

    Payer SourceTotal Paid
    Medicare$75.7K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$80$20.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$120$11.4K
    90671This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…20$240$5.3K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…30$160$5.1K
    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…70$60$4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…50$80$3.6K
    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…30$100$3.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20$140$3.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.410$10$3.3K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…20$150$2.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,83320,010100$70$11.7K
    7417773184090$70$8.6K
    7055329734050$100$8.2K
    G04391,4934,72060$90$7.4K
    7214833148050$70$7K
    992139,92720,00070$50$6.6K
    7372127735040$70$6.2K
    70450771780160$30$5.9K
    906941,1642,28050$80$5.8K
    364151501,91090$10$5.4K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marietta Memorial HospitalOHGeneral Acute Care Hospital$0$102.2M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Camden Clark Memorial Hospital CorporationWVGeneral Acute Care Hospital$0$56.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Camden-clark Physician CorporationWVSurgery Physician$0$19.8M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Camden Clark Memorial Hospital CorporationWVLand Ambulance$874.9K$5.3M
    Marietta Memorial Hospital Of Tyler County IncWVCritical Access Hospital$0$2.7M
    Srini VasanOHRadiation Oncology Physician$807K$0
    Christopher KolibashWVClinical Cardiac Electrophysiology Physician$425.8K$48K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physicians Outpatient Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$1.1M$317.1K
    Ohio Valley Ambulatory Surgery Center, LLCOHMulti-Specialty Clinic/Center$360.4K$68.3K
    Seyed GhodsiOHNeurological Surgery Physician$203.1K$0
    Nathan MiselOHPhysician Assistant$199.2K$0
    Peter PantelidisOHInterventional Pain Medicine Physician$176.2K$0
    Munir AhmadOHRadiation Oncology Physician$150.1K$0
    Gregory D'eramoOHPain Medicine (Physical Medicine & Rehabilitation) Physician$140.4K$0
    Houman KhosroviOHNeurological Surgery Physician$134.5K$0
    Rajendra BhatiOHSurgical Oncology Physician$121.2K$0
    Bambi MonroeOHPhysical Therapist$120.1K$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. Ohio Distribution
    Jay Mcdougal — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio