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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarvin Meadors
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    Marvin Meadors — Billing Profile & Reimbursement Data

    NPI 1518952852 · Nashville, TN · Rheumatology Physician

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    Marvin Meadors is a rheumatology physician provider located in Nashville, Tennessee. This profile covers 23 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
    OrganizationMarvin Meadors
    Address4230 Harding Pike Ste 501
    CityNashville
    StateTN
    ZIP37205
    TaxonomyRheumatology Physician
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicare$164K
    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.

    23 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…990$80$80.8K
    J0897Injection, denosumab, 1 mg1,980$20$35.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…120$80$9.8K
    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…50$140$6.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.500$10$5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.620$10$5K
    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…90$60$4.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…500$10$4K
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.480$10$2.4K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.50$50$2.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971562402,940$20$85K
    96413133240150$90$18.9K
    9921424611,370120$80$16.6K
    992135,20011,03080$50$8K
    96367109140190$20$5.4K
    9636518028080$40$5.1K
    906621,4021,83050$70$4.9K
    992052541,30020$140$4.9K
    800532231,600160$10$4.3K
    8230689891050$30$4.1K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Old Harding Pediatric AssociatesTNPediatrics Physician$0$7.3M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Adams & Seaton Pediatric DentistryTNPediatric Dentistry$0$3.7M
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Saint Thomas Campus Surgicare LPTNAmbulatory Surgical Clinic/Center$1.3M$0
    Elizabeth LyonsTNRheumatology Physician$1.2M$0
    Colt McclainTNAnatomic Pathology & Clinical Pathology Physician$962.9K$0
    Imaging Alliance Nashville Pet LLCTNRadiology Clinic/Center$456.7K$255.5K
    Gregg ShepardTNHematology & Oncology Physician$653K$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. Tennessee Distribution
    Marvin Meadors — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee