Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kenneth Bagwell (NPI 1346508249)

Field	Value
Entity Type	Individual
Organization	Kenneth Bagwell
Address	32 Strawberry Hill Ct Ste 4
City	Stamford
State	CT
ZIP	06902
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 27, 2012

Payer Source	Total Paid
Medicare	$68.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	250	$90	$21.8K
99204	The 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…	110	$110	$12.7K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	90	$90	$8.7K
99213	The 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…	100	$60	$6.2K
99203	The provider sees a new 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 provider…	90	$70	$5.9K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	30	$150	$4.3K
99215	The 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…	30	$130	$3.3K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	60	$30	$1.8K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	40	$40	$1.5K
69220	The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.	20	$40	$840

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Kenneth Bagwell — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	962	6,480	90	$90	$14.2K
31231	51	80	60	$150	$13.9K
99213	1,638	6,440	70	$60	$8.1K
99215	1,409	1,840	30	$130	$6.7K
31575	7	110	50	$100	$6K
99204	146	2,660	30	$120	$4.6K
99203	215	2,250	30	$80	$3.5K
69210	43	160	50	$30	$3.4K
G0268	3	30	30	$40	$3.3K
92557	98	130	100	$30	$3.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Neubauer	CT	Otolaryngology Physician	$119.9K	$0
Matthew Hinsley	OR	Otolaryngology Physician	$112.4K	$0
Jacquelyn Brewer	CT	Otolaryngology Physician	$109.6K	$0
Richard Tilton	CT	Otolaryngology Physician	$109.3K	$0
Ryan Gallivan	OR	Otolaryngology Physician	$104.9K	$0
Jason Klenoff	CT	Otolaryngology Physician	$103K	$0
Claire Bock	OR	Medical Physician Assistant	$89.1K	$0
John Renton	OR	Otolaryngology Physician	$81.6K	$0
Jacob Brunner	LA	Otolaryngology Physician	$80.6K	$550
Biana Lanson	CT	Otolaryngology Physician	$73.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stamford Hospital	CT	General Acute Care Hospital	$0	$139.9M
Stamford Emergency Medical Services, Inc.	CT	Land Ambulance	$1.5M	$6.3M
Mvc Ct	CT	Surgery Physician	$0	$2.7M
Dva Renal Healthcare Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Yoo Jin Shin	CT	Pediatric Dentistry	$0	$1.7M
Rainbow Pediatrics, LLC	CT	Pediatrics Physician	$0	$1.6M
Emergency Medicine Physicians Of Fairfield County, LLC	CT	Emergency Medicine Physician	$0	$1.6M
South End Dental Center PC	CT	General Practice Dentistry	$0	$1.5M
Child Guidance Center Of Southern Connecticut, Inc.	CT	Community/Behavioral Health Agency	$0	$1.5M
Andrews Adade Md, PC	CT	Pediatric Adolescent Medicine Physician	$0	$1.5M

Kenneth Bagwell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References