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    OpenPayerNPI Medicare & MedicaidCoyle Connolly
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    Coyle Connolly — Billing Profile & Reimbursement Data

    NPI 1386601433 · Linwood, NJ · Dermatology Physician

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    Coyle Connolly is a dermatology physician provider located in Linwood, New Jersey. This profile covers 8 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
    OrganizationCoyle Connolly
    Address2106 New Rd Ste D4
    CityLinwood
    StateNJ
    ZIP08221
    TaxonomyDermatology Physician
    NPI EnumeratedMay 1, 2006

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

    Payer SourceTotal Paid
    Medicare$3M
    Medicaid$0

    Key Findings

    This provider appears to operate primarily as a radiation therapy-focused practice rather than a general dermatology clinic: the highest-revenue Medicare codes are procedure and therapy planning/verification codes (G6001, 77280, 77401, 77290, 77300) associated with radiation planning, imaging guidance, and dosimetry rather than routine dermatologic office visits. The mix of high-volume imaging/simulation and guidance codes indicates a workflow centered on planning and delivering external beam radiation therapy rather than primarily performing clinic-based dermatologic procedures.

    Medicare revenue is concentrated heavily in a very small set of services: the precomputed top three Medicare codes account for 85.4% of this provider’s total Medicare revenue, and G6001 alone contributes $1.5M or 50.8% of Medicare receipts. This concentration indicates the practice derives the vast majority of Medicare income from a narrow set of radiation therapy-related services, making its financial profile highly dependent on those service lines.

    This provider is effectively single-payer in the dataset provided: lifetime Medicare revenue is $3M while there is no Medicaid billing on file. Analysts should treat Medicaid exposure as nil for contract, utilization, or access analyses and focus competitive and payer-strategy work on Medicare fee-for-service dynamics.

    On competitive standing and national volume, this provider is an outsized national player for multiple radiation therapy codes: G6001 ranks #1 of 280 providers (100th percentile) and is labeled an extreme outlier, 77280 ranks #14 of 3348 providers (100th percentile) as an extreme outlier, and 77401 ranks #1 of 426 providers (100th percentile) as an extreme outlier. Those ranks indicate the provider operates at volumes far above typical national peers for several specialized radiation therapy services.

    Several additional radiation therapy planning codes also show unusually high volumes: 77290 ranks #2 of 3650 providers (100th percentile) with $307.6K revenue and is described as an extreme outlier, while 77300 ranks in the 98th percentile and 77427 and general evaluation codes like 99212 appear at much lower, more typical volumes. Together this suggests the organization’s dominance is concentrated in simulation, guidance, and treatment-planning services rather than routine evaluation-and-management visits.

    The provider’s procedure mix shows limited office E/M activity relative to therapy planning: 99212 accounts for $56.7K (1.9% of Medicare revenue) at an extreme outlier national volume ranking, while 99213 is minimal ($1.5K). This pattern reinforces that most clinical activity billed to Medicare is technical/planning radiation work rather than standard outpatient dermatology E/M encounters.

    Tenure data indicate the NPI was enumerated around 2006-05-01 (~20 years ago), suggesting the provider has long-standing Medicare enrollment. That longevity combined with exceptionally high national ranks for several specialized codes could reflect an established, high-volume radiation therapy operation over multiple years.

    Because three codes produce 85.4% of revenue and individual codes like G6001 and 77401 are characterized as extreme outliers at the national level, the provider’s financial and operational risk is concentrated: any change in coverage, coding, or utilization for those specific radiation therapy services would likely materially affect overall revenue. Analysts should prioritize monitoring policy, reimbursement, and utilization trends for those dominant codes.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6001Ultrasonic guidance for placement of radiation therapy fields9,390$160$1.5M
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.2,750$240$659.5K
    77401Deleted effective Jan. 1, 2026.10,240$40$379K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…770$400$307.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,160$50$56.7K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…900$60$52.1K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…110$170$18.3K
    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…30$60$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60011101,210$160$606.3K
    774011101,150$40$148.7K
    7742782110210$160$41.3K
    7728017050$150$18K
    9921311,92514,090100$70$13.1K
    773005100210$40$11.5K
    7729018050$160$10.3K
    9921273,45040$40$3.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pradip BhattacharjeeNJDermatopathology (Pathology) Physician$493.7K$0
    Priya ThakkerNJMOHS-Micrographic Surgery Physician$313.7K$0
    Andriy PavlenkoNJAnatomic Pathology & Clinical Pathology Physician$306.7K$0
    Sean AdairNJMedical Physician Assistant$253.7K$0
    Lauren CincottaNJMedical Physician Assistant$230.7K$0
    Christopher MarshNJPhysician Assistant$189.8K$0
    Jennifer SibigaNJNurse Practitioner$158.8K$0
    Jody MaffeiNJNurse Practitioner$138.2K$0
    Eileen AversaNJFamily Nurse Practitioner$131.4K$0
    Jennifer LatteriPAMedical Physician Assistant$93.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jun HuangNJOphthalmology Physician$1.3M$0
    Allen SilveyNJPulmonary Disease Physician$1.2M$4K
    Athanasios PapastamelosNJInfectious Disease Physician$508.4K$116.9K
    Srisai GowdaNJPsychiatry Physician$612.5K$0
    Fabio OrozcoNJOrthopaedic Surgery Physician$608.6K$0
    Thomas MuellerNJUrology Physician$527.2K$0
    David SussmanNJUrology Physician$516.2K$0
    Charles MurphyNJPodiatrist$448.4K$0
    Pujan ParikhNJInternal Medicine Physician$442K$0
    Kelley Tasca-fiorelliNJPrimary Care Nurse Practitioner$389.7K$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. New Jersey Distribution
    Coyle Connolly — 6 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey