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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerrence Doherty
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    Terrence Doherty — Billing Profile & Reimbursement Data

    NPI 1255435558 · Old Lyme, CT · Family Medicine Physician

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    Terrence Doherty is a family medicine physician provider located in Old Lyme, Connecticut. This profile covers 17 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
    OrganizationTerrence Doherty
    Address19 Halls Rd
    CityOld Lyme
    StateCT
    ZIP06371
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$111K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit220$140$29.7K
    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…270$90$23.7K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…70$280$20.6K
    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…150$70$9.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…90$70$6.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…10$240$3.3K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.20$140$3.3K
    G0008Administration of influenza virus vaccine100$30$3.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$170$2.6K
    G0009Administration of pneumococcal vaccine70$30$2.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0996,48090$90$14.2K
    9132234945060$140$13.6K
    G0439511,51060$130$10K
    992131,6856,44070$60$8.1K
    90677966020$280$6.2K
    9048051270080$40$5K
    9949614221020$220$4.6K
    906621331,12030$70$3.5K
    G043810914020$170$3.1K
    9949511020020$170$3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Medical Group, Inc.CTInternal Medicine Physician$0$59.6M
    Praveen ReddyTXHematology & Oncology Physician$1.8M$0
    Philip GinsburgVTGastroenterology Physician$628K$0
    Sandi-jo GalatiCTEndocrinology, Diabetes & Metabolism Physician$414K$0
    Ranee Angeli LlevaCTEndocrinology, Diabetes & Metabolism Physician$347.2K$0
    Yi-hao YuCTEndocrinology, Diabetes & Metabolism Physician$301.5K$0
    Philip GoldbergCTEndocrinology, Diabetes & Metabolism Physician$277K$0
    Dwight DimartinoCTPrimary Care Nurse Practitioner$270.2K$0
    Danielle Benaviv-meskinCTEndocrinology, Diabetes & Metabolism Physician$261.4K$0
    Alexander DelvecchioCTClinical Cardiac Electrophysiology Physician$254.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Olaf OglandCTPsychiatry Physician$24.7K$0
    Gabriell BudoffCTGerontology Nurse Practitioner$5.9K$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. Connecticut Distribution
    Terrence Doherty — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut