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    OpenPayerNPI Medicare & MedicaidBrian Fitzpatrick
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    Brian Fitzpatrick — Billing Profile & Reimbursement Data

    NPI 1285611293 · Wareham, MA · Family Medicine Physician

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    Brian Fitzpatrick is a family medicine physician provider located in Wareham, Massachusetts. This profile covers 23 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationBrian Fitzpatrick
    Address100 Rosebrook Way
    CityWareham
    StateMA
    ZIP02571
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$204K
    Medicaid$850

    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
    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…880$90$78.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit270$130$35.5K
    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…230$60$14.8K
    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…130$70$9.3K
    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…30$280$9K
    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…100$80$8.6K
    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,…50$170$8.1K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes250$30$6.5K
    G0442Annual alcohol misuse screening, 5 to 15 minutes310$20$5.9K
    99204The provider sees a new 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 provider…50$110$5.5K

    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
    9921429715,410110$80$15.6K
    G04391743,35070$120$11.9K
    992132,35913,70070$60$8.8K
    906774331,81020$280$7.7K
    992041,8765,87030$120$5.6K
    906623342,19040$70$5.1K
    364151,4242,130110$10$4.6K
    9949711769040$70$4.1K
    G043814455020$160$3.8K
    G00087163,49040$30$3.5K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$60$860

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,7735,300230$60$164.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southcoast Physicians Group, Inc.MAFamily Medicine Physician$0$49.8M
    Herman LuCACardiovascular Disease Physician$789.4K$0
    Rezene BerhaneMAInternal Medicine Physician$101.9K$335.1K
    John JohnsonMAAllergy & Immunology Physician$424.5K$0
    Richard PinMAVascular Surgery Physician$351.6K$0
    Michael DuqueRIInternal Medicine Physician$77.5K$253.6K
    Mark DesnoyersMACardiovascular Disease Physician$308K$0
    Shobhita SundarMAInternal Medicine Physician$297.8K$0
    Michael LangworthyMAOrthopaedic Surgery Physician$297.7K$0
    Ivan UritsMAPain Medicine (Anesthesiology) Physician$297K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southcoast Hospitals Group, IncMAGeneral Acute Care Hospital$0$26.2M
    Town Of WarehamMALand Ambulance$594.1K$1.9M
    Sirjana Dhungana ParajuliMAInternal Medicine Physician$299.9K$0
    Amy WiegandtMAInternal Medicine Physician$299.7K$0
    Matthew CostaMACardiovascular Disease Physician$260.9K$0
    Robert McgowenMAInternal Medicine Physician$183K$0
    Christian DeeMAOrthopaedic Surgery Physician$163.5K$0
    Deanna MurphyMAFamily Nurse Practitioner$146.3K$0
    Keith ChappellMAEmergency Medicine Physician$126.7K$0
    Pilar AlonsoMAInfectious Disease Physician$84.2K$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. Massachusetts Distribution
    Brian Fitzpatrick — 5 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Brian Fitzpatrick — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts