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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Paul
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    Peter Paul — Billing Profile & Reimbursement Data

    NPI 1407853617 · Ann Arbor, MI · Internal Medicine Physician

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    Peter Paul is a internal medicine physician provider located in Ann Arbor, Michigan. This profile covers 20 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
    OrganizationPeter Paul
    Address2200 Green Rd
    CityAnn Arbor
    StateMI
    ZIP48105
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 1, 2005

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

    Payer SourceTotal Paid
    Medicare$70.5K
    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.

    20 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…480$50$23.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$270$8.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170$50$8.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…110$60$7.1K
    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…100$40$4.3K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit50$70$3.5K
    G0008Administration of influenza virus vaccine110$30$3.5K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.20$120$2.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…230$10$2.5K
    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).…230$10$2.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921482915,47080$80$11.4K
    9132064984050$130$10.1K
    992134,82914,81060$60$6.6K
    G04392464,10050$100$6.6K
    906772061,29020$270$6.5K
    906943511,56050$70$5.8K
    904801,2811,52080$40$3.9K
    994972297040$60$3.4K
    G04381840020$130$2.5K
    G00087853,44050$30$2.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric StrakaMIInternal Medicine Physician$74.8K$0
    Martha GrayMIInternal Medicine Physician$73.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Micholdings, Inc.MIAdult Mental Health Clinic/Center$0$38.1M
    Iha Health Services CorporationMIUrgent Care Clinic/Center$0$9.1M
    Regents Of The University Of MichiganMIOphthalmology Physician$0$5.9M
    Cascade Hemophilia ConsortiumMISpecialty Pharmacy$5.1M$0
    Christopher ConradyMIOphthalmology Physician$818.6K$0
    Yu Cheng ZhaoMIOphthalmology Physician$618.5K$0
    Brett MalbinMIOphthalmology Physician$477.6K$0
    Nicholas BehuninMIOphthalmology Physician$309.1K$0
    Ross HalpernMIPsychologist$296.7K$0
    Christopher HoodMIOphthalmology Physician$222.4K$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. Michigan Distribution
    Peter Paul — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan