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    OpenPayerNPI Medicare & MedicaidAlton Temple
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    Alton Temple — Billing Profile & Reimbursement Data

    NPI 1548466840 · Ranson, WV · Emergency Medicine Physician

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    Alton Temple is a emergency medicine physician provider located in Ranson, West Virginia. This profile covers 4 Medicare and 1 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
    OrganizationAlton Temple
    Address300 S Preston St
    CityRanson
    StateWV
    ZIP25438
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJune 23, 2007

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

    Payer SourceTotal Paid
    Medicare$81K
    Medicaid$700

    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
    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.320$140$43.6K
    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…160$170$26.2K
    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.120$90$10.5K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.110$10$630

    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
    992851742090$130$15.5K
    992913542040$160$9.8K
    9928412645080$90$8.2K
    93010203400110$10$1.5K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.10$50$700

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. West Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.1571703,350$120$1.1M

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Jeanine WigtonPAFamily Nurse Practitioner$40.1K$1.1M
    Eddie FernandezMDEmergency Medical Services (Emergency Medicine) Physician$882.3K$0
    Alfred JumpMDEmergency Medicine Physician$709.3K$0
    Michael PerrautMDInternal Medicine Physician$479.5K$0
    Khanh NguyenMDEmergency Medicine Physician$357.3K$0
    Keyur PatelFLUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$342.4K$2.3K
    Adam CormanGAEmergency Medicine Physician$39.9K$161.9K
    Cheri CartagenaMDMedical Physician Assistant$163.3K$0
    Mohammad MalikMDEmergency Medicine Physician$162.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jefferson Memorial HospitalWVCritical Access Hospital$0$21.6M
    East Mountain Health Physicians, Inc.WVUrgent Care Clinic/Center$0$5.1M
    Jmh Emergency PhysiciansWVEmergency Medicine Physician$0$2.6M
    Jefferson Pharmacy IncWVPharmacy$13.8K$2.1M
    City Hospital, Inc.WVInternal Medicine Physician$0$1.9M
    Jefferson County Council On AgingWVHome Health Agency$0$1.5M
    Jefferson County Emergency Services AgencyWVLand Ambulance$336.8K$638.2K
    Jefferson Memorial HospitalWVInternal Medicine Physician$0$941.1K
    Gagan SinghWVOphthalmology Physician$449K$0
    Said SanaWVFamily Medicine Physician$424.4K$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.

    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. West Virginia Distribution
    Alton Temple — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Alton Temple — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia