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    OpenPayerNPI Medicare & MedicaidValerie Ball
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    Valerie Ball — Billing Profile & Reimbursement Data

    NPI 1205993680 · Avon, IN · Otolaryngology Physician

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    Valerie Ball is a otolaryngology physician provider located in Avon, Indiana. This profile covers 7 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
    OrganizationValerie Ball
    Address1115 North Ronald Reagan Parkway
    CityAvon
    StateIN
    ZIP46123
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$55.2K
    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.

    7 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…490$60$28.4K
    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…110$110$11.3K
    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…110$70$8.1K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.60$90$5.1K
    92511The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera.10$80$1K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.130$10$880
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.10$30$280

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921356410,82080$50$7.6K
    992043994,69030$100$4.9K
    315755015040$80$4.2K
    992033153,49030$70$3.1K
    9511765100190$10$3.1K
    6921027929030$30$1.8K
    9251121010$80$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Otolaryngology Associates, LLCINOtolaryngology Physician$0$3.1M
    Megan WoodINOtolaryngology Physician$120.1K$0
    John GoldenbergINOtolaryngology Physician$98.9K$0
    Jason GuttINOtolaryngology Physician$88.1K$0
    Clement McdonaldINOtolaryngology Physician$65.5K$0
    Benjamin CopelandINOtolaryngology Physician$57.3K$0
    Maximillian NewellINOtolaryngology Physician$54.5K$0
    Michael AgostinoINOtolaryngology Physician$48.1K$0
    David FangINOtolaryngology Physician$39.6K$0
    Richard BiggerstaffINOtolaryngology Physician$28.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cummins Behavioral Health Systems, IncorporatedINMental Health Clinic/Center (Including Community Mental Health Center)$0$108.5M
    Indiana University Health West Hospital IncINGeneral Acute Care Hospital$0$16M
    Hendricks County HospitalINUrgent Care Clinic/Center$0$3.5M
    Kids Dentistree Of In, LLCINPediatric Dentistry$0$2.7M
    Washington Township TrusteeINLand Ambulance$477.9K$1.3M
    David NathanINDermatology Physician$416.1K$0
    Shelly EarlywineINFamily Nurse Practitioner$405.2K$0
    Indiana Endoscopy Centers LLCINAmbulatory Surgical Clinic/Center$268K$3.5K
    Christopher DoranINPain Medicine (Anesthesiology) Physician$237.8K$0
    Robert McpikeINOptometrist$193.8K$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. Indiana Distribution
    Valerie Ball — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana