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    OpenPayerNPI Medicare & MedicaidDavid Rouse
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    David Rouse — Billing Profile & Reimbursement Data

    NPI 1215903216 · Liberty, MO · Otolaryngology Physician

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    David Rouse is a otolaryngology physician provider located in Liberty, Missouri. This profile covers 15 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
    OrganizationDavid Rouse
    Address2521 Glenn Hendren Dr
    CityLiberty
    StateMO
    ZIP64068
    TaxonomyOtolaryngology Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$109.8K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…20$640$14.7K
    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…250$50$12.4K
    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…120$100$11.5K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.20$540$10.8K
    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…160$60$10K
    42405The provider takes tissue samples from the salivary gland through a skin incision over the salivary gland. He sends the samples for pathological analysis.60$180$9.8K
    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…130$70$9.1K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.20$590$8.9K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.10$410$5.7K
    64716In this procedure, the provider relieves the pressure on a cranial nerve by incising the scar tissue or other source of pressure. He may also transpose the nerve to a nearby area so it’s in a more…20$190$4.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    14060304020$550$18.1K
    14301103020$690$15.9K
    6458241020$630$14.5K
    992143,8818,960100$80$13.9K
    14061162020$670$13.5K
    31237142030$260$9.8K
    4240511060$180$9.8K
    992131,1608,73070$50$7K
    312315110030$130$7K
    992042404,36030$100$4.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$233.8M
    Truman Medical Center, IncorporatedMOGeneral Acute Care Hospital$0$72.7M
    Truman Medical Center, IncorporatedMOCommunity/Behavioral Health Agency$0$37.8M
    Saint Luke's Physician Group IncMOFamily Medicine Physician$0$15M
    Truman Medical Center, IncorporatedMOOtolaryngology Physician$0$14.1M
    Truman Medical Center IncorporatedMOBody Imaging Physician$0$4.6M
    Truman Medical Center IncorporatedMOCommunity/Behavioral Health Agency$0$4.6M
    Hays Medical Center, Inc.KSRural Health Clinic/Center$0$2.3M
    Don WynnTXPulmonary Disease Physician$1.4M$0
    Jay RobinowKSRadiation Oncology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Triality, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$40.6M
    Developmental Disabilities Resource Board Of Clay CountyMOCase Management Agency$0$24.5M
    Life Unlimited, Inc.MOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$24.4M
    Life Unlimited, Inc.MOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$12.1M
    Assured HealthcareMOHome Health Agency$0$8.5M
    City Of LibertyMOLand Ambulance$460.1K$1.4M
    Liberty Cataract Center LLCMOAmbulatory Surgical Clinic/Center$1.2M$13.9K
    Scott McknightMOOphthalmology Physician$999.4K$0
    Saint Lukes Radiation Therapy-liberty LLCMORadiation Oncology Clinic/Center$764.7K$0
    Brett McknightMOOphthalmology Physician$733.6K$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. Missouri Distribution
    David Rouse — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri