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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Combs
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    William Combs — Billing Profile & Reimbursement Data

    NPI 1306951587 · Allentown, PA · Cardiovascular Disease Physician

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    William Combs is a cardiovascular disease physician provider located in Allentown, Pennsylvania. This profile covers 15 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
    OrganizationWilliam Combs
    Address1250 S Cedar Crest Blvd
    CityAllentown
    StatePA
    ZIP18103
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 20, 2006

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

    Payer SourceTotal Paid
    Medicare$114.2K
    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.

    15 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…440$70$29.5K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$590$17K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…60$270$15.6K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…80$190$14.4K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…20$460$10.5K
    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…60$100$6K
    92941The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries or a coronary artery bypass graft. They restore blood flow in a completely or nearly…10$510$5.6K
    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…40$140$4.7K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…20$200$4.3K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…170$10$1.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    333616215030$590$19.5K
    992142,27623,230100$80$14.5K
    9292812423030$420$12.6K
    992329,13310,87080$60$9.6K
    992152,3287,17040$120$8.6K
    934582828040$200$8.4K
    93460415020$280$7.2K
    92941112010$510$7.1K
    992059083,09020$150$4.9K
    9345933010$210$3.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Main Line HealthcarePAFamily Medicine Physician$0$8.2M
    Grand View HospitalPAAmbulance$481.8K$131.7K
    Paul MarcottePANeurological Surgery Physician$509K$0
    Bruce KlugherzPACardiovascular Disease Physician$425.7K$0
    Paul WeidnerPAOrthopaedic Surgery Physician$393K$0
    Shehzad MalikPACardiovascular Disease Physician$327.9K$0
    Joseph NeriPACardiovascular Disease Physician$310.9K$1.9K
    David LevinPADiagnostic Radiology Physician$287.8K$0
    William SmolinskiPACardiovascular Disease Physician$233.1K$0
    Sonal MayekarPARadiation Oncology Physician$217.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lehigh Valley HospitalPAGeneral Acute Care Hospital$0$64.3M
    Lehigh Valley Physician GroupPAEmergency Medicine Physician$0$16.3M
    Preferred Home Health Care & Nursing Services Inc.PAHome Health Agency$0$12.1M
    Lehigh Valley HospitalPAChildren's Hospital$0$10M
    Efcc Acquisition CorpPAHome Health Agency$0$9.6M
    Medical Imaging Of Lehigh Valley PCPADiagnostic Radiology Physician$0$9.5M
    Lehigh Valley Physician GroupPAPediatric Emergency Medicine (Emergency Medicine) Physician$0$5.9M
    Masayuki KazahayaPAOphthalmology Physician$3.7M$0
    Ya-yu LeePAEndocrinology, Diabetes & Metabolism Physician$831K$0
    Neil FeldmanPAAllergy Physician$808K$1.6K

    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. Pennsylvania Distribution
    William Combs — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania