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    OpenPayerNPI Medicare & MedicaidCarol Jackson
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    Carol Jackson — Billing Profile & Reimbursement Data

    NPI 1255434825 · Newport Beach, CA · Otolaryngology Physician

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    Carol Jackson is a otolaryngology physician provider located in Newport Beach, California. This profile covers 25 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
    OrganizationCarol Jackson
    Address361 Hospital Rd
    CityNewport Beach
    StateCA
    ZIP92663
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicare$224.8K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…430$150$62.3K
    92575The provider performs this service as an alternative to conventional bone conduction testing for patients with hearing impairments.230$70$16.3K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…80$190$15.6K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.640$20$15.4K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…510$30$13.3K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…420$30$11.3K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…340$30$10.8K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…420$30$10.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$170$10.3K
    92584In this procedure, the provider stimulates sound waves in the inner ear and measures electrical signals, or evoked potentials, generated by the nervous system. He uses the results to identify inner…90$100$8.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043225370120$170$52.1K
    110448311060$240$29.1K
    994242930100$70$27.9K
    92575310350$60$23.9K
    971103,9956,720490$20$17.1K
    975332340140$50$15.9K
    9921568815,36050$130$14.4K
    971123,0365,210310$20$12.6K
    9942551040$50$11.8K
    992051,7258,36030$170$7.2K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport Bay Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.8M$242.6K
    David NabiCAVascular Surgery Physician$1.4M$0
    Ryan KleinCAInternal Medicine Physician$1.3M$0
    Hoag Outpatient Centers, LLCCAAmbulatory Surgical Clinic/Center$1.2M$0
    Howard MangoCAAudiologist$1M$148K
    Rafael PenunuriCAInternal Medicine Physician$1.1M$0
    Melissa SmithCAPlastic Surgery Physician$754.8K$255K
    Newport Beach Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$967.7K$0
    George SiegelCAOccupational Therapist$891.6K$0
    Christopher O'carrollCANeurology Physician$655.3K$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. California Distribution
    Carol Jackson — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California