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    OpenPayerNPI Medicare & MedicaidLawrence Mallon
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    Lawrence Mallon — Billing Profile & Reimbursement Data

    NPI 1194788943 · Muskegon, MI · Vascular Surgery Physician

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    Lawrence Mallon is a vascular surgery physician provider located in Muskegon, Michigan. This profile covers 31 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
    OrganizationLawrence Mallon
    Address1316 Mercy Dr
    CityMuskegon
    StateMI
    ZIP49444
    TaxonomyVascular Surgery Physician
    NPI EnumeratedApril 11, 2006

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

    Payer SourceTotal Paid
    Medicare$130.9K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…130$100$12.5K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…100$120$12K
    36832In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…20$570$9.1K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…50$170$8.9K
    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…130$70$8.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral140$50$7.3K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…160$40$6.4K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…110$60$6.3K
    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…70$90$6.3K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…30$200$6K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36902296050$800$54.2K
    3658162020$560$14.6K
    36907263030$400$14K
    992333,8604,22070$90$12.3K
    36821122020$610$12.1K
    992326,5536,73090$60$12K
    3683221020$660$11.9K
    992148,72615,47080$80$11.4K
    3690193020$410$10.6K
    3624651020$320$7.4K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin EisenbergMIVascular Surgery Physician$112.5K$0
    Stephen ZoncaMIPlastic and Reconstructive Surgery Physician$36.6K$0
    Srdjan OstricMIPlastic Surgery Physician$30.4K$0
    Ryan TerlouwMIPlastic Surgery Physician$25.8K$0
    Thomas JonesMIPhysician Assistant$7.1K$0
    Lori BaermanMICertified Registered Nurse Anesthetist$40$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moka CorporationMIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$126.2M
    Mercy Health PartnersMIGeneral Acute Care Hospital$0$98.1M
    Senior Resources Of West MichiganMICase Management Agency$0$31.5M
    Mgh Family Health CenterMIFederally Qualified Health Center (FQHC)$0$24.4M
    Hackley Community Care Center IncMIFederally Qualified Health Center (FQHC)$0$23.1M
    Orthopaedic Associates Of Muskegon, PCMIOrthopaedic Surgery Physician$0$7.1M
    Port City PediatricsMIPediatrics Physician$0$5.9M
    Radiology Muskegon PCMIDiagnostic Radiology Physician$0$5.9M
    Mercy Specialty ServicesMIInternal Medicine Physician$0$5.3M
    Paul RaphaelianMIRetina Specialist (Ophthalmology) Physician$1.5M$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.

    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
    Lawrence Mallon — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan