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    v1.0.28
    OpenPayerNPI Medicare & MedicaidErnesto Mejia
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    Ernesto Mejia — Billing Profile & Reimbursement Data

    NPI 1205814605 · Morristown, TN · Pulmonary Disease Physician

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    Ernesto Mejia is a pulmonary disease physician provider located in Morristown, Tennessee. This profile covers 21 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
    OrganizationErnesto Mejia
    Address500 Mcfarland St
    CityMorristown
    StateTN
    ZIP37814
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJanuary 5, 2006

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

    Payer SourceTotal Paid
    Medicare$173.7K
    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.

    21 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…1,090$60$64.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…830$40$29.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…210$90$19.1K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.250$40$9.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$60$7.4K
    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…100$70$7K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…250$30$6.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$130$6.3K
    32554In this procedure, the provider uses a long needle or a catheter to remove the fluid, blood, or air from the space between the lungs and chest wall.100$60$6.3K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…200$20$4.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992321,6773,990100$60$11.4K
    992231,3343,13040$120$8K
    992138911,03080$50$8K
    906771,0011,34020$280$7.9K
    99222412,63030$90$3.9K
    99231101,11040$40$3.1K
    992034103,75030$70$3.1K
    947292023060$30$2.6K
    3255411030$60$2.6K
    G00081,8703,23050$30$2.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M
    Childrens Hospital Medical Practice CorporationLAPediatrics Physician$0$33.2M
    Christopher ChengCANeurology Physician$239.3K$36.2K
    Edward BartonCANeurology Physician$260.1K$0
    John ParkerCANeurology Physician$243K$0
    David ValentineCANeurology Physician$233.3K$0
    Greg SchaublinFLNeurology Physician$202.8K$0
    Harsha ShanthaveerappaTNPulmonary Disease Physician$118.5K$0
    Justin CheongsiatmoyCONeurology Physician$96.9K$0
    Ken FujimuraCANeurology Physician$70.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allcare, LLCTNIn Home Supportive Care Agency$0$21.9M
    Morristown Hamblen Hospital AssociationTNGeneral Acute Care Hospital$0$17.8M
    Edward H Moody Jr Dds PCTNPediatric Dentistry$0$4.5M
    Morristown Hamblen Emergency Medical ServicesTNLand Ambulance$789.5K$2.4M
    Premier Support Services, Inc.TNHome Health Agency$0$3M
    Volunteer Healthcare Services, Inc.TNPhysical Therapy Clinic/Center$0$2.5M
    Mcfarland Group LLCTNOxygen Equipment & Supplies (DME)$0$2.5M
    Med-trans CorporationTNAir Ambulance$502.4K$920.7K
    Tina BowlesTNFamily Nurse Practitioner$973.6K$0
    Sunil RamaprasadTNInterventional Cardiology Physician$637K$255.4K

    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. Tennessee Distribution
    Ernesto Mejia — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee