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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Woodbury
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    Michael Woodbury — Billing Profile & Reimbursement Data

    NPI 1154313591 · Bartlett, TN · Allergy & Immunology Physician

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    Michael Woodbury is a allergy & immunology physician provider located in Bartlett, Tennessee. This profile covers 16 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Woodbury
    Address3002 N Germantown Rd
    CityBartlett
    StateTN
    ZIP38133
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedAugust 22, 2005

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

    Payer SourceTotal Paid
    Medicare$182.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…670$60$36.7K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…80$320$26.6K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.230$110$24.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.380$40$14K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…20$540$12.4K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.50$270$12.1K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$540$9.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.150$60$9.5K
    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…150$60$9.3K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,610$10$8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173116170350$410$145.4K
    173126460190$290$54.1K
    13132537070$180$16.6K
    14060376020$530$13.7K
    11102207400160$50$11K
    14040103020$460$10.2K
    13121258030$210$10.2K
    17000126490210$30$8.8K
    9921332111,03080$50$8K
    1006161020$150$6.7K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Youth Villages, Inc.TNCommunity/Behavioral Health Agency$0$615.4M
    Saint Francis Hospital - Bartlett, Inc.TNGeneral Acute Care Hospital$0$9.8M
    St. John's Community ServicesTNPoint of Service$0$6.7M
    Truelove's In-home Health CareTNIn Home Supportive Care Agency$0$5.2M
    Nakita CannadyTNHome Health Aide$0$4.6M
    Acro Pharmaceutical Services LLCTNSpecialty Pharmacy$0$4.4M
    Lincare Inc.TNDurable Medical Equipment & Medical Supplies$0$4.1M
    Acadian Ambulance Service Of Tennessee, LLCTNLand Ambulance$1.8M$2.3M
    West Tennessee Family Solutions, IncTNIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$3M
    Chc901 LLCTNAmbulance$860.6K$1.6M

    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. Tennessee Distribution
    Michael Woodbury — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee