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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGerald Bloomfield
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    Gerald Bloomfield — Billing Profile & Reimbursement Data

    NPI 1225094907 · Durham, NC · Cardiovascular Disease Physician

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    Gerald Bloomfield is a cardiovascular disease physician provider located in Durham, North Carolina. This profile covers 23 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
    OrganizationGerald Bloomfield
    Address3643 N Roxboro St
    CityDurham
    StateNC
    ZIP27704
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 22, 2006

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

    Payer SourceTotal Paid
    Medicare$81.6K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…540$70$38.7K
    76377In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…220$30$7.2K
    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$6.9K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.360$20$5.4K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…30$160$5.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…30$90$2.9K
    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…20$130$2.6K
    92960In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.20$80$1.7K
    93224In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…40$50$1.7K
    93244After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…80$20$1.4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330679770210$80$19.3K
    992321,8565,69070$60$8.1K
    992233,1624,58030$130$6.5K
    992391,4342,38050$80$5.6K
    933514115030$120$3.5K
    9331222928020$80$2.2K
    929608220020$80$2.1K
    76377612020$30$1.8K
    93350285020$50$1.4K
    93224105030$50$1.4K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergeortho PANCOrthopaedic Surgery Physician$0$20.9M
    Private Diagnostic Clinic, PLLCNCPediatrics Physician$0$17.5M
    Sunrise Clinical Associates, PLLCNCCommunity/Behavioral Health Agency$0$16.5M
    County Of Durham Finance DeptNCLand Ambulance$2.4M$11.3M
    Rapha Healthcare Services,llcNCMulti-Specialty Clinic/Center$0$13.6M
    Php Of Nc, IncNCDevelopmentally Disabled Services Day Training Agency$0$12.7M
    Bayada Home Health, Care, Inc.NCHome Health Agency$0$11.6M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M

    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. North Carolina Distribution
    Gerald Bloomfield — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina