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NPI 1235121658 · Jesup, GA · Internal Medicine Physician
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Robert Pumpelly is a internal medicine physician provider located in Jesup, Georgia. This profile covers 43 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Robert Pumpelly |
| Address | 124 Memorial Dr |
| City | Jesup |
| State | GA |
| ZIP | 31545 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | August 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $316.1K |
| Medicaid | $45K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
43 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,210 | $80 | $95.8K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 700 | $70 | $51.4K |
| 99213 | The 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… | 470 | $60 | $28.9K |
| 96521 | The provider refills a portable pump with a chemotherapy drug. | 210 | $90 | $18.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 130 | $120 | $15.4K |
| 99232 | The 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… | 250 | $60 | $14.8K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 210 | $50 | $9.8K |
| 99239 | The 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… | 110 | $90 | $9.7K |
| 93306 | The 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… | 180 | $50 | $9.1K |
| 96366 | The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease. | 410 | $20 | $6.1K |
Showing 1–10 of 43
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
43 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 149 | 560 | 270 | $70 | $38.4K |
| 96521 | 12 | 20 | 260 | $80 | $29.7K |
| 93306 | 405 | 810 | 180 | $80 | $17.9K |
| 99214 | 183 | 13,640 | 120 | $80 | $17.8K |
| 99233 | 2,379 | 3,880 | 90 | $90 | $13.9K |
| G0439 | 783 | 2,900 | 70 | $120 | $12.4K |
| 43239 | 480 | 490 | 70 | $120 | $11.9K |
| 99306 | 202 | 260 | 50 | $130 | $11.4K |
| 99232 | 1,026 | 5,010 | 80 | $60 | $10.9K |
| 96365 | 54 | 210 | 110 | $50 | $10.8K |
Showing 1–10 of 43
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,920 | $10 | $26.8K |
| 99214 | The 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… | 1,720 | $10 | $15.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 540 | $1 | $1.1K |
| 93306 | The 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… | 30 | $30 | $870 |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 70 | $10 | $590 |
| 99213 | The 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… | 150 | $1 | $440 |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 60 | $1 | $110 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 10 | $1 | $10 |
| 1036F | N/A | 60 | $0 | $0 |
| 1090F | Urinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence… | 40 | $0 | $0 |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 567 | 920 | 370 | $60 | $360.6K |
| 99214 | The 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… | 233 | 820 | 390 | $70 | $245K |
| 93306 | The 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… | 49 | 60 | 670 | $80 | $194.5K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 11 | 50 | 320 | $10 | $89K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 63 | 130 | 480 | $20 | $59.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 109 | 150 | 210 | $20 | $18.9K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 144 | 150 | 330 | $1 | $9.6K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 6 | 10 | 70 | $40 | $3.8K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 24 | 30 | 90 | $10 | $3.5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 75 | 80 | 290 | $1 | $3.3K |
Showing 1–10 of 18
Other providers in the same ZIP code as Robert Pumpelly, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rabessler Md PC | GA | Internal Medicine Physician | $0 | $5.1M |
| Wayne Emergency Group LLC | GA | Emergency Medicine Physician | $0 | $2.4M |
| Lentz Urgent Care & Family Med, Inc | GA | Family Medicine Physician | $0 | $677.8K |
| Air Evac Ems Inc | GA | Air Ambulance | $516.8K | $0 |
| Mark Byron | GA | Urology Physician | $446.4K | $0 |
| Wayne County Ambulance Service | GA | Land Ambulance | $350.3K | $0 |
| Jeffrey Harris | GA | Obstetrics & Gynecology Physician | $4.5K | $282.4K |
| Elizabeth Crandall | GA | Ophthalmology Physician | $261.1K | $0 |
| Heather Tyre | GA | Physician Assistant | $210.2K | $0 |
| Tiffany Mcdonald | GA | Counselor | $0 | $208.6K |
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