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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Coleman
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    Daniel Coleman — Billing Profile & Reimbursement Data

    NPI 1467981753 · Providence, RI · Emergency Medicine Physician

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    Daniel Coleman is a emergency medicine physician provider located in Providence, Rhode Island. This profile covers 7 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
    OrganizationDaniel Coleman
    Address593 Eddy St.
    CityProvidence
    StateRI
    ZIP02906
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJune 8, 2017

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

    Payer SourceTotal Paid
    Medicare$150.2K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.840$140$116.1K
    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…90$170$15.3K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.170$90$14.2K
    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…40$90$3.1K
    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…20$50$870
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.30$20$480
    87807The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.10$10$180

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992851280130$140$21.2K
    992141,5091,950100$80$11.7K
    992915530040$170$10.3K
    992131,7571,95070$60$7.4K
    992841631060$90$6.2K
    87804324040$20$940
    8780731020$10$370

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric FortierMAMedical Physician Assistant$412.6K$0
    Michael KralovecINOrthopaedic Surgery Physician$306.9K$0
    Jeremy CareyMASurgery Physician$150.1K$120.7K
    Shant BroukianMAEmergency Medicine Physician$230.5K$0
    Donald Middleton Jr.MAEmergency Medicine Physician$161.8K$39.2K
    Oliver BerrettMDEmergency Medicine Physician$187.9K$3.4K
    Craig CornwallMAEmergency Medicine Physician$183.2K$960
    Kinsey LeonardMAEmergency Medicine Physician$174.6K$1.6K
    Jacob CrowellMEEmergency Medicine Physician$168.8K$0
    Jason KahnNYEmergency Medicine Physician$165.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Miriam HospitalRIGeneral Acute Care Hospital$0$138.6M
    Family Service Of Rhode Island Inc.RITaxi$0$12M
    Butler HospitalRIPsychiatric Hospital$0$9.6M
    Phoenix Houses Of New England, Inc.RISubstance Abuse Rehabilitation Facility$0$7.3M
    Thomas MulveyRIPediatric Dentistry$0$6.3M
    Silver Fern Practice, LLCRIPhysical Therapist$0$5M
    Providence Interventional Associates Ii LLCRIAmbulatory Surgical Clinic/Center$1.9M$8.3K
    Gaurav GuptaRIOphthalmology Physician$1.8M$5.8K
    Robert EdenRIPediatrics Physician$0$1.7M
    Brian AckermanRIPsychiatry Physician$24.8K$1.5M

    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. Rhode Island Distribution
    Daniel Coleman — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island