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    OpenPayerNPI Medicare & MedicaidNorah Duncan
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    Norah Duncan — Billing Profile & Reimbursement Data

    NPI 1144583832 · Troy, MI · Family Medicine Physician

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    Norah Duncan is a family medicine physician provider located in Troy, Michigan. This profile covers 51 Medicare and 6 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
    OrganizationNorah Duncan
    Address2041 E Square Lake Rd.
    CityTroy
    StateMI
    ZIP48085
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 19, 2012

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

    Payer SourceTotal Paid
    Medicare$235.8K
    Medicaid$5.3K

    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.

    51 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…890$90$81.3K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)630$50$28.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…510$50$23.9K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…210$100$21.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$130$10.9K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…180$40$6.8K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral90$60$5.2K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment30$170$4.6K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…80$60$4.5K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$160$3.5K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067375390290$50$19.6K
    994871010080$90$15K
    994894470110$50$13.2K
    77063368380260$30$11.8K
    9921418515,47080$80$11.4K
    9949035450100$50$10.4K
    971241620320$20$9.8K
    971102,0432,540350$20$9.1K
    994392818060$40$8.4K
    99457128140120$40$8.2K

    Showing 1–10 of 51

    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.

    6 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…50$110$5.1K
    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.20$10$140
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…20$10$90
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$1$30
    3008FNo Summary found for this code50$0$0
    3074FNo Summary found for this code30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,8274,3801,000$70$289.9K
    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.2432508,860$1$85.3K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3333502,860$1$49.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,0561,240590$1$9.6K
    3074FNo Summary found for this code9771,100580$1$1
    3008FNo Summary found for this code474570500$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Exclusive Physicians PLLCMIMulti-Specialty Clinic/Center$0$28.6M
    Nikesh SethAZPain Medicine (Anesthesiology) Physician$1.2M$31.1K
    Bernardo RojasMIInternal Medicine Physician$1.2M$0
    Srinivas KoneruMICardiovascular Disease Physician$984.1K$0
    Elias KassabMICardiovascular Disease Physician$554.6K$0
    Farah Dawood-farahMIEndocrinology, Diabetes & Metabolism Physician$533.3K$0
    Donald KnapkeMIOrthopaedic Surgery Physician$515.3K$0
    Gary LangnasMIInternal Medicine Physician$493.6K$0
    Jay PradhanMICardiovascular Disease Physician$469.2K$0
    Noor BunneyMIInternal Medicine Physician$459.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$84.8M
    3 Doves Home AssistanceMIIn Home Supportive Care Agency$0$7.9M
    Mitchell FolbeMIHematology & Oncology Physician$517.9K$0
    Mark ZohouryMIInternal Medicine Physician$313K$89.5K
    Jason PeterMIPain Medicine Physician$352.5K$0
    Mahmoud Al-shamiMIInternal Medicine Physician$349K$0
    Martin GlowackiMIInterventional Pain Medicine Physician$344.7K$0
    Mohammad ChistiMIHematology & Oncology Physician$310.9K$0
    Mark Friedland Md PCMIVascular Surgery Physician$296.9K$0
    Sara Sarwar RiazMIHematology & Oncology Physician$229K$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. Michigan Distribution
    Norah Duncan — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Norah Duncan — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan