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    OpenPayerNPI Medicare & MedicaidBruce Boyd
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    Bruce Boyd — Billing Profile & Reimbursement Data

    NPI 1386715514 · Corinth, MS · Primary Podiatric Medicine Podiatrist

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    Bruce Boyd is a primary podiatric medicine podiatrist provider located in Corinth, Mississippi. This profile covers 28 Medicare and 19 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
    OrganizationBruce Boyd
    Address211 Alcorn Dr
    CityCorinth
    StateMS
    ZIP38834
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedNovember 10, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$893.1K

    Key Findings

    This provider bills substantially to both Medicare and Medicaid, with Total Medicare revenue of $1.8M and Total Medicaid revenue of $893.1K. Medicare is the larger payer relationship by scale, but the practice maintains meaningful Medicaid activity rather than being single‑payer. The NPI was enumerated on 2006-11-10 (~20 years ago), indicating an established practice footprint over time.

    Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 73.7% of this provider's total Medicare revenue. The dominant Medicare driver is Q4217 (58.2% of the provider’s Medicare revenue), with 99214 (8.4%) and 99213 (7.2%) completing the top three, so a small set of codes generates the majority of Medicare receipts. This concentration implies financial sensitivity to changes in reimbursement or utilization for those specific services.

    On the Medicaid side the top three codes account for 58.3% of Total Medicaid revenue, signaling a concentrated revenue mix as well. The Medicaid top codes are 99213 (23.3%), 99203 (21.0%), and 11750 (14.0%), which together suggest a mix of high office visit volume and procedural nail care driving most state program revenue. That split indicates the practice leans on ambulatory E/M visits plus targeted procedural services to generate Medicaid income.

    The code mix and high-value items point to a wound- and procedure-oriented podiatry practice. Q4217 (an add-on biowound/woundfix product) contributes 58.2% of Medicare revenue and is supplemented by wound debridement 97597 and skin substitute 15275 on Medicare and Medicaid, consistent with an emphasis on complex wound management and adjunctive products. Concurrent presence of nail procedures (11750, 11730) and incision/drainage codes supports a blended ambulatory procedural service line rather than purely consultative care.

    Several codes show unusually high national or state standing, marking the provider as a prominent procedural and E/M volume outlier. On Medicare, codes such as 28270 rank #1 of 146 providers (100th percentile; extreme outlier) and 28232 ranks #2 of 124 (99th percentile; extreme outlier), indicating nationally exceptional surgical throughput for these foot procedures. At the same time, key E/M codes on Medicare — 99214 and 99213 — are described as "extreme outlier" volumes nationally, reflecting very high office-visit throughput relative to peers.

    Diagnostic and ancillary services are a material component of the practice’s footprint: Medicare shows heavy use of imaging and vascular testing (73610, 73630, 93922) and Medicaid lists 73610 and 73630 among top revenue codes. Both 73610 and 73630 rank very high in national/state comparisons (Medicare percentiles at or near 100th; Medicaid shows #2 in-state for each), implying on-site imaging capability and an integrated diagnostic workflow that supports the clinic’s procedural and wound-care volumes.

    Competitive standing differs by payer and code: nationally the provider is an extreme outlier on many Medicare codes (e.g., 99214, 99213, 28270, 97597) indicating volumes far above typical national peers for both E/M and procedures, while Q4217 itself is a more typical national volume for that product (rank #38 of 65; 42th percentile). In-state Medicaid rankings show leadership on specific procedural codes (11750 ranks #1 of 4) and notably above-typical volume for imaging and debridement (multiple codes rank in the high percentiles in-state), indicating a strong regional competitive position for procedural podiatry and related services.

    The practice’s payer-dependent revenue concentration and code mix have operational implications: reliance on a single high-revenue add-on product (Q4217) and a small set of high-volume E/M and surgical codes means reimbursement policy changes, product access, or shifts in referral patterns for wound care could materially affect revenue. Conversely, the breadth of supporting diagnostics (imaging, vascular studies) and frequent E/M encounters across both payers suggest an integrated model capable of maintaining patient flow and supporting procedural demand.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)1,140$920$1.1M
    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…1,920$80$151.4K
    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…2,250$60$130.4K
    28270The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.270$260$72.1K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…880$70$59.6K
    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…700$70$46.8K
    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…360$110$39.1K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral560$60$31.6K
    28232The provider cuts into or through a single flexor tendon of the toe using an open incision during the performance of a more extensive procedure.230$130$30.8K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.1,180$20$28.2K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42173101,130$980$1.6M
    99214334,110170$70$21.9K
    2827011030$230$20.7K
    2812411090$210$18.9K
    28232110130$140$17.8K
    99213114,000100$50$10.3K
    2828541020$360$9.4K
    2847011060$150$8.8K
    2830881020$390$7.8K
    1527562060$90$6.4K

    Showing 1–10 of 28

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…7,380$30$206.7K
    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…3,320$60$186K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.1,710$70$124.5K
    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…3,290$40$121.8K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…2,440$30$63.4K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.4,660$10$51.2K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.4,750$10$47.5K
    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…680$60$41.3K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.670$30$18.2K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.750$10$10.5K

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3041,910930$60$278.7K
    A5514For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot,…2106,530$40$259.2K
    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…3701,670720$50$196.4K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe112070$60$94.6K
    10061The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…510500$110$50.4K
    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…7849090$70$49.9K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.110320$70$38.7K
    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…28680100$50$34.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.2130410$30$25.1K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.210360$50$24.2K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Magnolia Regional Health CenterMSGeneral Acute Care Hospital$0$29.3M
    Magnolia Regional Health CenterMSPediatrics Physician$0$7.5M
    Magnolia Physician Services, IncMSInternal Medicine Physician$0$4.1M
    Anchor Rehabilitation LLCMSPhysical Therapist$0$4.1M
    Physicians Urgent Care Of Corinth, LLCMSGeneral Practice Physician$0$3.5M
    Robert PerryMSOrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M
    Magnolia Ambulance ServicesMSAmbulance$1.1M$1.4M
    Dental Arts Of CorinthMSGeneral Practice Dentistry$0$2.2M
    Specialty Surgery & Laser CenterMSAmbulatory Surgical Clinic/Center$1.9M$261.4K
    Magnolia Regional Health CenterMSInternal Medicine Physician$0$2M

    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. Mississippi Distribution
    Bruce Boyd — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Bruce Boyd — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi