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    OpenPayerNPI Medicare & MedicaidWilliam Lear
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    William Lear — Billing Profile & Reimbursement Data

    NPI 1467566216 · Indiana, PA · Obstetrics & Gynecology Physician

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    William Lear is a obstetrics & gynecology physician provider located in Indiana, Pennsylvania. This profile covers 4 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Lear
    Address1265 Wayne Ave
    CityIndiana
    StatePA
    ZIP15701
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedAugust 18, 2006

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

    Payer SourceTotal Paid
    Medicare$7.1K
    Medicaid$1K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory80$40$3.3K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination80$40$2.9K
    82270The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…120$1$480
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…130$1$390

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G01011971,03030$40$2K
    Q00915644020$40$1.7K
    8227077030$1$200
    810021241,52020$1$190

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…210$1$840
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.10$20$240

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.28532040$30$7K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…128360100$1$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Marsha LoalboPARadiation Oncology Physician$359.8K$12.2K
    Ellen DaileyPAObstetrics & Gynecology Physician$72.4K$276.7K
    Kayla HessFLPhysician Assistant$234.8K$0
    David BizouskyPASports Medicine (Orthopaedic Surgery) Physician$127K$42.4K
    Daniel HoffmanVAUrology Physician$166.3K$0
    Alexander BatchevPAFamily Medicine Physician$149.7K$0
    Joshua BlackOHPsychiatric/Mental Health Nurse Practitioner$144K$1.4K
    Nihar GhatePAFoot & Ankle Surgery Podiatrist$70K$67.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Guidance CenterPACommunity/Behavioral Health Agency$0$10.8M
    Indiana Regional Medical CenterPARural Acute Care Hospital$0$10.6M
    Firetree, Ltd.PASubstance Abuse Rehabilitation Facility$0$7.9M
    Citizens' Ambulance Service IncPALand Ambulance$644.5K$2.9M
    Indiana Ambulatory Surgical Associates, IncPAAmbulatory Surgical Clinic/Center$142.7K$494.9K
    Steven WilsonPAAnatomic Pathology & Clinical Pathology Physician$60.9K$197.6K
    David AzarPAAnatomic Pathology & Clinical Pathology Physician$60.3K$80K
    Ronald TralePAOrthopaedic Surgery Physician$97K$25.3K
    Andrew CashPAInternal Medicine Physician$108.6K$0
    James IannazziPANeurology Physician$35.9K$42.1K

    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
    William Lear — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    William Lear — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania