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    OpenPayerNPI Medicare & MedicaidDavid Prince
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    David Prince — Billing Profile & Reimbursement Data

    NPI 1447275698 · Bryn Mawr, PA · Pulmonary Disease Physician

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    David Prince is a pulmonary disease physician provider located in Bryn Mawr, Pennsylvania. This profile covers 19 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
    OrganizationDavid Prince
    Address825 Old Lancaster Rd
    CityBryn Mawr
    StatePA
    ZIP19010
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$232.8K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…560$180$97.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…250$140$35K
    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…270$100$27.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…90$170$15.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$100$15.2K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…290$30$9K
    99292Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…100$90$8.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$140$8.4K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.140$40$5.8K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.80$30$2.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,81323,230100$80$14.5K
    992331,6416,63070$90$12K
    99291123,80040$170$11.7K
    992153757,17040$120$8.6K
    992232,2167,02040$130$7.8K
    992392,8813,25060$90$6.6K
    9581012915030$140$5.7K
    7125026799080$40$5.1K
    992051053,09020$150$4.9K
    992921117030$80$3.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sameer GuptaPAHematology & Oncology Physician$2.9M$0
    Donald MillerPARheumatology Physician$2.2M$0
    John DevlinPAHematology & Oncology Physician$2M$0
    Bmmsa Heart & Vascular Center Of The Main LinePAAmbulatory Surgical Clinic/Center$1.9M$0
    Nancy WalkerPARheumatology Physician$1.7M$0
    Stephanie FlaggPARheumatology Physician$1.6M$0
    Sean CurranPACardiovascular Disease Physician$1.4M$0
    Matthew HalpernPADermatology Physician$1.2M$0
    Tarun MathurPACardiovascular Disease Physician$1.1M$0
    Bryn Mawr Medical Specialists AssociationPAAmbulatory Surgical Clinic/Center$886K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaleidoscope Family Solutions, Inc.PACommunity/Behavioral Health Agency$0$78.3M
    Resources For Human Development, Inc.PACommunity/Behavioral Health Agency$0$30.7M
    Kaleidoscope Family Solutions Aba Inc.PABehavior Analyst$0$9.8M
    Academic Urology Of PA, LLCPAAmbulatory Surgical Clinic/Center$1.5M$0
    Bryn Mawr Surgery Center LLCPAAmbulatory Surgical Clinic/Center$1.3M$0
    Kara CapriottiPADermatology Physician$1.1M$0
    John FisherPACardiovascular Disease Physician$810.9K$0
    John SteersPACardiovascular Disease Physician$767.7K$0
    Joanne LanePAInternal Medicine Physician$746.5K$13.7K
    Sheetal ChandhokPACardiovascular Disease Physician$736.8K$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. Pennsylvania Distribution
    David Prince — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania