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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBert Williams
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    Bert Williams — Billing Profile & Reimbursement Data

    NPI 1497813208 · Frederick, MD · Urology Physician

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    Bert Williams is a urology physician provider located in Frederick, Maryland. This profile covers 10 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
    OrganizationBert Williams
    Address97 Thomas Johnson Drive
    CityFrederick
    StateMD
    ZIP21702
    TaxonomyUrology Physician
    NPI EnumeratedDecember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$193.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,420$90$124.7K
    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…210$130$27.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$460$10.5K
    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…70$150$10.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…50$150$7.4K
    81000The 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…1,020$1$4.1K
    51703The bladder catheter CPT codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…30$120$3.3K
    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…20$130$2.5K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$100$1.2K
    50684In this procedure, the provider injects contrast material through an indwelling ureteral catheter already in place or a previously created opening between the skin and ureter. He then performs a…20$30$600

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    50590153030$800$32.2K
    52000162200120$140$25.8K
    9921419210,270150$90$24.1K
    992154074,07050$120$10.9K
    992232,2292,93040$140$10.3K
    52332879020$310$9.5K
    992052611,91030$160$6.5K
    51703154030$100$3.4K
    5068411020$30$610
    81000225050$1$330

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick County Public SchoolsMDLocal Education Agency (LEA)$0$21.3M
    Dr.sivakumar Pediatric Dental Center LLCMDPediatric Dentistry$0$14.7M
    Concerted Care Group Frederick LLCMDMethadone Clinic$290K$7.4M
    Frederick Pediatric Associates P.A.MDPediatrics Physician$0$7.6M
    Potomac Case Management ServicesMDCase Management Agency$0$6.7M
    Amr HegaziMDHematology & Oncology Physician$2.3M$0
    Grant LouieMDRheumatology Physician$2.1M$0
    Sadaf TaimurMDHematology & Oncology Physician$1.7M$0
    Frederick Surgical Center, LLCMDAmbulatory Surgical Clinic/Center$1.7M$0
    Gregory GagnonMDRadiation Oncology Physician$1.6M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Bert Williams — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland