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    OpenPayerNPI Medicare & MedicaidJoseph Spiegel
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    Joseph Spiegel — Billing Profile & Reimbursement Data

    NPI 1467472175 · Philadelphia, PA · Otolaryngology Physician

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    Joseph Spiegel is a otolaryngology physician provider located in Philadelphia, Pennsylvania. This profile covers 16 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
    OrganizationJoseph Spiegel
    Address925 Chestnut St
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 19, 2006

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

    Payer SourceTotal Paid
    Medicare$169.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…750$110$79.9K
    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…500$80$38.4K
    31591The provider restores the function of the larynx, or voice box, by moving a displaced or paralyzed vocal cord, which is displaced to one side, back toward the midline (medialization) in order to…10$1,000$12K
    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…200$50$9.9K
    64617The provider performs percutaneous chemodenervation of the larynx on one side, which may be guided by needle electromyography.80$90$7.4K
    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…60$100$6.2K
    31615In this procedure, the provider performs tracheobronchoscopy through a tracheal opening created earlier. In tracheobronchoscopy, the provider passes a flexible tube with a camera at one end through…40$90$3.6K
    70371This procedure is a radiologic study using cineradiography or video recording for pharyngeal and speech evaluation.60$50$3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$30$1.8K
    92612The provider carries out an evaluation of a patient’s pharynx to determine the health of the muscles that help in swallowing. He uses a flexible endoscope and cine or video recording.30$50$1.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,76223,230100$80$14.5K
    3159121010$960$12.5K
    3157917040$130$11K
    6461741090$130$10.5K
    992134,22022,37070$60$7.7K
    3157526438060$90$6.6K
    992042,21910,29030$110$5K
    9261251030$130$4.3K
    992034,9697,33030$70$3.5K
    3161521020$100$2.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chinatown True Care Medical PLLCNYInternal Medicine Physician$0$94.9M
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Jisun ChaNYDermatopathology Physician$1.3M$5.7K
    Asif HussainPACardiovascular Disease Physician$980.9K$0
    Kehua LiNJMOHS-Micrographic Surgery Physician$877.2K$0
    Richard DanielsNJVascular Surgery Physician$827.7K$5.4K
    Sally Pullman-mooarPARheumatology Physician$752.4K$0
    Jeffrey BaliffPAAnatomic Pathology & Clinical Pathology Physician$685.9K$18.8K
    Nnamdi EzeTNHematology & Oncology Physician$678K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality ProgressionsPACase Management Agency$0$50.8M
    Bright Beginnings Therapeutic Services, LLCPACommunity/Behavioral Health Agency$0$46.8M
    The Pennsylvania Hospital Of The University Of Pennsylvania Health SysPAGeneral Acute Care Hospital$0$25.7M
    Philadelphia Mental Health ClinicPAClinic/Center$0$18.3M
    Philadelphia FightPAFederally Qualified Health Center (FQHC)$0$18.1M
    Public Health Mangement CorporationPAFederally Qualified Health Center (FQHC)$0$9.3M
    Addiction Medicine And Health Advocates, IncorporatedPAMethadone Clinic$56.9K$9.2M
    Assessment & Treatment AlternativesPACommunity/Behavioral Health Agency$0$9.1M
    Nadia DarbouzePASocial Worker$0$9.1M
    Adwa Home Care Inc.PAHome Health Agency$0$7.9M

    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
    Joseph Spiegel — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania