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    OpenPayerNPI Medicare & MedicaidMatthew Blair
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    Matthew Blair — Billing Profile & Reimbursement Data

    NPI 1437461878 · Pensacola, FL · Otolaryngology Physician

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    Matthew Blair is a otolaryngology physician provider located in Pensacola, Florida. This profile covers 17 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
    OrganizationMatthew Blair
    Address4601 Spanish Trl
    CityPensacola
    StateFL
    ZIP32504
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 13, 2010

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

    Payer SourceTotal Paid
    Medicare$744.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.100$3,230$335.8K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…110$1,560$165.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.400$140$57K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.110$290$30.7K
    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…440$70$29.1K
    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…280$80$22.1K
    31296The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus.20$1,180$20K
    J3490Unclassified drugs10$1,380$19.3K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).100$170$16.3K
    31297The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the sphenoid sinus.10$1,220$15.9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129812020$3,700$96.2K
    J34901818070$280$87.5K
    3129513020$1,760$49.2K
    31231152090$140$24.5K
    3129611010$1,640$21.3K
    3011753030$490$18.3K
    3129711010$1,280$15.3K
    31237112030$270$13.1K
    9921347630,01080$60$12K
    315753657060$90$8.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James KeaneARProcedural Dermatology Physician$4.9M$0
    Harshivinderjit BainsTXOphthalmology Physician$4.1M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Amar PatelTXOphthalmology Physician$3.8M$0
    Thomas BochowTXOphthalmology Physician$3.6M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Rochelle Robicheaux MetoyerLARheumatology Physician$2.9M$0
    Jonathan TzuTXOphthalmology Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Pensacola Pediatrics PAFLPediatrics Physician$0$20.4M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$14.8M
    Renal Care Group Of The Southeast, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.1M
    Sacred Heart Health System, Inc.FLFamily Medicine Physician$0$12.3M
    Augustine Emergency Physicians LLCFLEmergency Medicine Physician$0$9.6M
    Pet LLCFLNuclear Radiology Physician$2.4M$118.6K
    Christopher LecroyFLVascular Surgery Physician$1.1M$0
    Clark PollittFLDiagnostic Radiology Physician$1.1M$0
    Aref RifaiFLRetina Specialist (Ophthalmology) Physician$1M$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. Florida Distribution
    Matthew Blair — 6 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida