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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Mclaughlin
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    Matthew Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1215071469 · Coeur D Alene, ID · Urology Physician

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    Matthew Mclaughlin is a urology physician provider located in Coeur D Alene, Idaho. This profile covers 32 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
    OrganizationMatthew Mclaughlin
    Address980 W Ironwood Dr
    CityCoeur D Alene
    StateID
    ZIP83814
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 19, 2007

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

    Payer SourceTotal Paid
    Medicare$274.2K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg4,800$20$86.4K
    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…410$80$32.5K
    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…150$160$24.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg180$130$24.2K
    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…290$60$16.6K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…470$30$15.8K
    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…120$110$12.5K
    J0585Injection, onabotulinumtoxina, 1 unit1,700$10$8.5K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$290$7K
    55700Code deleted December 31, 2025.40$170$6.4K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08979302,580$20$76.2K
    J05858108,800$1$39.6K
    J9217310130$130$19K
    5235642020$580$12.1K
    5223421020$740$11.1K
    5200064070$120$10.9K
    87150110340$30$10.7K
    992142212,69090$70$10.4K
    5228781020$260$10.4K
    99490489090$40$8.1K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bonner General Hospital Inc.IDCritical Access Hospital$0$1.6M
    Samuel UzabelFLHospice and Palliative Medicine (Emergency Medicine) Physician$582K$0
    Shaun JoshiIDNephrology Physician$523.4K$0
    Bonner General Hospital IncIDUrgent Care Clinic/Center$0$517.6K
    Sherwin FosterIDNephrology Physician$356.3K$0
    Michael EiflingTXClinical Cardiac Electrophysiology Physician$316.4K$0
    Edward EllisonIDUrology Physician$311.3K$0
    Devin CaywoodIDDiagnostic Radiology Physician$276.4K$0
    Dean KubaczIDFamily Medicine Physician$268.8K$0
    Luke GraukeIDDiagnostic Radiology Physician$265.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Res-care Washington, IncIDIn Home Supportive Care Agency$0$31.9M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$13.6M
    Coeur D'alene Pediatrics PAIDPediatrics Physician$0$11.6M
    Coeur D'alene School District #271IDLocal Education Agency (LEA)$0$9.8M
    Ambitions Of Idaho, IncIDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$7.1M
    Kootenai Health, Inc.IDGeneral Acute Care Hospital$0$7M
    Family Support Services Of North IdahoIDMental Health Counselor$0$6.9M
    Dirne Health Centers, IncIDFederally Qualified Health Center (FQHC)$0$6.7M
    Kootenai Health, Inc.IDPsychiatry Physician$0$6.7M

    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. Idaho Distribution
    Matthew Mclaughlin — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho