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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrederic Humphrey
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    Frederic Humphrey — Billing Profile & Reimbursement Data

    NPI 1366438848 · Marietta, OH · Internal Medicine Physician

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    Frederic Humphrey is a internal medicine physician provider located in Marietta, Ohio. This profile covers 12 Medicare and 41 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
    OrganizationFrederic Humphrey
    Address4727 State Route 60
    CityMarietta
    StateOH
    ZIP45750
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 21, 2005

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

    Payer SourceTotal Paid
    Medicaid$978.4K
    Medicare$71.1K

    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.

    12 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…670$80$52.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$120$9.2K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.160$10$2.2K
    G0008Administration of influenza virus vaccine60$30$1.8K
    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…40$40$1.5K
    G0444Annual depression screening, 5 to 15 minutes80$20$1.3K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.60$20$1.2K
    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…10$80$1000
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$10$380
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…20$10$190

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921452420,010100$70$11.7K
    G04391,8324,72060$90$7.4K
    9921314,32920,00070$50$6.6K
    364151,2591,91090$10$5.4K
    992047,6148,33030$100$4.4K
    830361,7712,11040$10$2.4K
    G00082,0375,28050$30$2.1K
    G044428290050$10$980
    906882310030$20$940
    963728381,27040$10$700

    Showing 1–10 of 12

    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.

    41 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…13,380$60$776.1K
    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…1,960$50$95.9K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.410$80$31.1K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.2,330$10$18.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…830$10$9.1K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.650$10$8.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…320$20$6.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.490$10$5.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…140$40$5K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…180$30$5K

    Showing 1–10 of 41

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    41 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3714,510500$60$377.8K
    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…1,6285,080560$40$323.9K
    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…701920640$20$114.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.372450720$10$67K
    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…1,1011,410120$70$65.7K
    99203The 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…1,6211,690120$50$60.1K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.340390130$70$57.5K
    99219N/A699050$120$52K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…543650540$10$50.5K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…164340150$30$36.3K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashesh DesaiTXPulmonary Disease Physician$999.8K$0
    David MontgomeryOHInternal Medicine Physician$218K$0
    Titu DasGAInfectious Disease Physician$210.7K$0
    John ShortSCEmergency Medicine Physician$195.6K$10.4K
    Leonard SoleSCNeurology Physician$80.5K$0
    John LeeOHAnesthesiology Physician$73.8K$0
    Michael MoreheadWVNeurology Physician$44.4K$0
    Malcolm LoudenWVNeurology Physician$40.7K$0
    Susan PresseauOHAnesthesiology Physician$18.2K$0
    Kelly RuppelOHCertified Registered Nurse Anesthetist$7.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marietta Memorial HospitalOHGeneral Acute Care Hospital$0$102.2M
    Quality Of Life Home Care, LtdOHHome Health Agency$0$15.9M
    Marietta Home Health And Hospice, L.L.C.OHCommunity Based Hospice Care Agency$0$7.6M
    L & P Services, Inc.OHPublic Health or Welfare Agency$0$7.2M
    Marietta Health Care Physicians, IncOHEmergency Medicine Physician$0$6.9M
    Vivek AbhyankarOHHematology & Oncology Physician$1.9M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    City Of MariettaOHAmbulance$257.6K$486.6K
    Matthew MacatolOHAnatomic Pathology & Clinical Pathology Physician$348.7K$470
    Michail VasilakisOHNeurological Surgery Physician$192.8K$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. Ohio Distribution
    Frederic Humphrey — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Frederic Humphrey — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio