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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Mclaughlin
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    Peter Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1255996781 · Augusta, GA · Family Nurse Practitioner

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    Peter Mclaughlin is a family nurse practitioner provider located in Augusta, Georgia. This profile covers 7 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
    OrganizationPeter Mclaughlin
    Address1350 Walton Way
    CityAugusta
    StateGA
    ZIP30901
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 9, 2019

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

    Payer SourceTotal Paid
    Medicare$27.6K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The 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…100$60$6.6K
    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…50$110$6K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…50$90$5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…90$50$4.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…60$50$3.3K
    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…40$50$1.9K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…30$20$650

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309397560270$70$38.4K
    99308352500150$50$17.4K
    9931015127060$100$15.4K
    992323,7775,01080$60$10.9K
    992231,4853,98040$130$8.1K
    9949726386050$60$5.7K
    G031751030$20$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BusbeeGAInternal Medicine Physician$266.2K$1.6M
    Amarabalan RajendranGAPhysical Medicine & Rehabilitation Physician$690.5K$0
    William MortonGAInternal Medicine Physician$479.3K$0
    Tarak PatelGAInfectious Disease Physician$210.1K$252.6K
    Hakeem AyindeVAClinical Cardiac Electrophysiology Physician$426.4K$0
    Kashif NaseemGAInternal Medicine Physician$340.1K$0
    Ravin TalatiGAFamily Medicine Physician$299.5K$0
    Emem UdoGAFamily Medicine Physician$204.2K$0
    Michael MetryGACritical Care Medicine (Internal Medicine) Physician$190.9K$0
    William WeaverGAInternal Medicine Physician$183.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health Services,incGAGeneral Acute Care Hospital$0$2.3M
    Stephen W. Brown And Radiology Associates Of Augusta LLPGADiagnostic Radiology Physician$0$1.6M
    Alice DavidGAHematology & Oncology Physician$1.4M$0
    Brent LimbaughGAHematology & Oncology Physician$1.1M$0
    Felisha LeeGAMental Health Counselor$0$978.1K
    Nephrology Associates, PCGANephrology Physician$0$626.7K
    Janet DavisGAMaternal & Fetal Medicine Physician$0$611.4K
    William TannehillGAVascular & Interventional Radiology Physician$609.6K$0
    Orthopaedic Associates Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$609.6K$0
    Augusta Developmental Specialists, LLCGADevelopmental - Behavioral Pediatrics Physician$0$573.1K

    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. Georgia Distribution
    Peter Mclaughlin — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia