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    OpenPayerNPI Medicare & MedicaidPatrick Doyle
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    Patrick Doyle — Billing Profile & Reimbursement Data

    NPI 1538782248 · Rio Rancho, NM · Physical Rehabilitation Occupational Therapist

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    Patrick Doyle is a physical rehabilitation occupational therapist provider located in Rio Rancho, New Mexico. 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
    OrganizationPatrick Doyle
    Address2101 Unser Blvd Se
    CityRio Rancho
    StateNM
    ZIP87124
    TaxonomyPhysical Rehabilitation Occupational Therapist
    NPI EnumeratedMay 28, 2020

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

    Payer SourceTotal Paid
    Medicare$16.6K
    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
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…70$80$5K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.200$20$4.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…250$20$3.7K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…100$20$2K
    97760In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…50$30$1.3K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…30$10$300
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care40$10$220

    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
    97110252350530$20$17.3K
    97530190280360$20$13.8K
    97112250290340$20$9.2K
    97140295300280$20$6.6K
    9716551070$70$4.6K
    G02837680140$10$2.2K
    9776011040$30$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Mexico Orthopaedic Associates PCNMOrthopaedic Surgery Physician$0$16.2M
    Daniel JunickNMOrthopaedic Surgery Physician$255K$0
    Krishna TripuraneniNMAdult Reconstructive Orthopaedic Surgery Physician$223.5K$0
    Joshua CarothersNMAdult Reconstructive Orthopaedic Surgery Physician$204.6K$0
    Douglas OrndorffNMOrthopaedic Surgery of the Spine Physician$198.2K$0
    Carl GilmoreNMOrthopaedic Surgery Physician$171.3K$0
    Patrick MulkeyNMOrthopaedic Surgery Physician$168.7K$0
    Justin AvernaNMPain Medicine (Physical Medicine & Rehabilitation) Physician$166.3K$0
    Jeffrey RaccaNMOrthopaedic Surgery Physician$162.5K$0
    James SantosCOPhysical Medicine & Rehabilitation Physician$152.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Four Winds Behavioral Health, Inc.NMCommunity/Behavioral Health Agency$0$38.2M
    Amazing Grace Personal Care Service, IncNMIn Home Supportive Care Agency$0$27.3M
    Red Mountain Family Services, Inc.NMFoster Care Agency$0$22.7M
    Phi Health, LLCNMAir Ambulance$1.5M$10.9M
    Robben R. Gingery, Md, LLCNMGeriatric Psychiatry Physician$0$10.6M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$9.9M
    Re-cycled Man LLCNMCommunity/Behavioral Health Agency$0$8M
    New Mexico WellnessNMCommunity/Behavioral Health Agency$0$7.1M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$5.6M
    Pinwheel Healing Center, LLCNMCommunity/Behavioral Health Agency$0$5.3M

    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. New Mexico Distribution
    Patrick Doyle — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico