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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Theobald
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    Robert Theobald — Billing Profile & Reimbursement Data

    NPI 1396778239 · Tampa, FL · Colon & Rectal Surgery Physician

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    Robert Theobald is a colon & rectal surgery physician provider located in Tampa, Florida. This profile covers 6 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
    OrganizationRobert Theobald
    Address14547 Bruce B Downs Blvd
    CityTampa
    StateFL
    ZIP33613
    TaxonomyColon & Rectal Surgery Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$262.1K
    Medicaid$0

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    46500The provider injects a sclerosing solution into the submucosa of the lower part of the anus under a hemorrhoid. This procedure helps in reducing blood flow to the area and causes the hemorrhoid to…1,030$230$234.6K
    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…220$70$16.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…20$170$3.8K
    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…50$60$3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$180$2.6K
    46320In this procedure, the provider excises an external thrombosed hemorrhoid, which is a swollen vein or a group of veins containing blood, located in the anal canal distal to the dentate line.20$80$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4650011050$230$46.6K
    453809041,16050$200$18.7K
    G010560470030$280$14.6K
    9921319,50030,01080$60$12K
    4632031040$170$10.7K
    9920341611,72040$70$4.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Health, Inc.FLGeneral Acute Care Hospital$0$105.5M
    Orlando Health Medical Group IncFLInternal Medicine Physician$0$57.6M
    South Lake Hospital, Inc.FLGeneral Acute Care Hospital$0$16.9M
    Orlando Health Central, Inc.FLGeneral Acute Care Hospital$0$12.5M
    Orlando Physicians Network IncFLInternal Medicine Physician$0$9.4M
    Yuanbin ChenFLMedical Oncology Physician$2.7M$0
    Florida Medical Clinic, LLCFLClinical Medical Laboratory$2.5M$7.3K
    David SikesFLRheumatology Physician$2.2M$0
    Susmitha ApuriFLMedical Oncology Physician$1.9M$0
    Amarilis TorresFLRheumatology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tampa Bay Emergency Physicians LLCFLEmergency Medicine Physician$0$28.1M
    Jenny's Senior Home Care Inc.FLAttendant Care Provider$0$24.4M
    Florida Hospital Physician Group IncFLFamily Medicine Physician$0$21.4M
    University Community Hospital, IncFLGeneral Acute Care Hospital$0$20.9M
    University Community Hospital, IncFLClinical Medical Laboratory$0$14.8M
    Ambulatory Surgery Center Group LtdFLAmbulatory Surgical Clinic/Center$897.2K$547.6K
    Wiregrass Ranch Asc Holdings LLCFLAmbulatory Surgical Clinic/Center$1.1M$0
    Paul GerczukFLClinical Cardiac Electrophysiology Physician$639.9K$0
    Jesal PopatFLInterventional Cardiology Physician$459.3K$0
    Asad SawarFLCardiovascular Disease Physician$430.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Robert Theobald — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida