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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Peyton
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    Charles Peyton — Billing Profile & Reimbursement Data

    NPI 1205195195 · Birmingham, AL · Urology Physician

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    Charles Peyton is a urology physician provider located in Birmingham, Alabama. This profile covers 11 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
    OrganizationCharles Peyton
    Address1717 6th Ave S
    CityBirmingham
    StateAL
    ZIP35233
    TaxonomyUrology Physician
    NPI EnumeratedMay 11, 2012

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

    Payer SourceTotal Paid
    Medicare$31.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$100$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…80$70$5.5K
    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…50$90$4.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$130$4.4K
    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…80$50$4.1K
    52235The 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…10$200$2.9K
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…50$20$820
    99443N/A10$70$790
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…50$20$780
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…40$20$630

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,5457,330120$80$16.8K
    520004112060$150$9.5K
    992155321,71040$110$8.1K
    992135,9726,47080$50$7.9K
    9920528582030$140$5K
    992041,1473,75030$100$4.8K
    5223541020$190$3.1K
    994439510020$70$2.9K
    5170172040$30$1.6K
    5170222030$30$850

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Rush Medical FoundationMSGeneral Acute Care Hospital$0$29.4M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALGeneral Acute Care Hospital$0$16.7M
    Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$12M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALInternal Medicine Physician$0$7.5M
    Medical Foundation, Inc.MSClinical Medical Laboratory$1M$4.2M
    The Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$5.2M
    Shannon WeathersMSFamily Nurse Practitioner$4.6M$0
    Ochsner Mississippi, LLCMSInternal Medicine Physician$0$3.2M
    Mark ReedTNGynecologic Oncology Physician$2.3M$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. Alabama Distribution
    Charles Peyton — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama