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NPI 1376773754 · Boston, MA · Internal Medicine Physician
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Mark Sperry is a internal medicine physician provider located in Boston, Massachusetts. This profile covers 14 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mark Sperry |
| Address | 800 Washington St |
| City | Boston |
| State | MA |
| ZIP | 02111 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 20, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $40.1K |
| Medicaid | $11.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 140 | $90 | $12.5K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 60 | $160 | $10.3K |
| 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… | 50 | $60 | $3.2K |
| 99232 | The 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… | 50 | $60 | $3.1K |
| 99222 | The 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… | 30 | $80 | $2.7K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 30 | $90 | $2.5K |
| 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… | 20 | $130 | $2.2K |
| 94626 | The provider performs services related to a session of outpatient pulmonary rehabilitation, a treatment program that helps a patient who has a chronic respiratory illness. Typical sessions include… | 60 | $20 | $1.3K |
| 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… | 10 | $80 | $950 |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 40 | $10 | $340 |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 6,543 | 15,410 | 110 | $80 | $15.6K |
| 99291 | 877 | 2,150 | 50 | $170 | $12.8K |
| 99233 | 3,296 | 4,170 | 70 | $100 | $12.6K |
| 99232 | 3,198 | 5,400 | 70 | $60 | $9.3K |
| 99213 | 8,110 | 13,700 | 70 | $60 | $8.8K |
| 99204 | 4,481 | 5,870 | 30 | $120 | $5.6K |
| 99222 | 1,312 | 3,420 | 30 | $100 | $4.5K |
| 99203 | 3,938 | 4,290 | 30 | $80 | $4.1K |
| 94729 | 168 | 250 | 80 | $10 | $1.5K |
| 94060 | 188 | 260 | 60 | $20 | $1.3K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 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… | 290 | $40 | $10.4K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 40 | $10 | $370 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 50 | $10 | $310 |
| 3008F | No Summary found for this code | 180 | $0 | $0 |
| 3078F | No Summary found for this code | 50 | $0 | $0 |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,207 | 5,040 | 200 | $70 | $209.5K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 52 | 70 | 230 | $30 | $25.8K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 72 | 100 | 330 | $20 | $23.6K |
| 3078F | No Summary found for this code | 31 | 50 | 110 | $1 | $150 |
| 3008F | No Summary found for this code | 20 | 40 | 130 | $1 | $30 |
Other providers in the same ZIP code as Mark Sperry, ranked by combined Medicare and Medicaid revenue.
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