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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDonald Newland
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    Donald Newland — Billing Profile & Reimbursement Data

    NPI 1558359901 · Shenandoah, TX · Otolaryngology Physician

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    Donald Newland is a otolaryngology physician provider located in Shenandoah, Texas. This profile covers 26 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
    OrganizationDonald Newland
    Address9301 Pinecroft Dr
    CityShenandoah
    StateTX
    ZIP77380
    TaxonomyOtolaryngology Physician
    NPI EnumeratedOctober 10, 2005

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

    Payer SourceTotal Paid
    Medicare$252.6K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.360$130$47.2K
    30469The provider applies radiofrequency energy to reshape the nasal valve in both nostrils.30$1,660$44.8K
    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…440$90$37.4K
    99204The provider sees a new 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 provider…240$100$24.6K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.90$290$24.3K
    30117In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.40$410$18.2K
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…20$660$10.5K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.180$40$7.5K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.60$100$5.8K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.170$30$5.4K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3046942020$1,630$34.3K
    6458241010$2,180$32.7K
    30117114040$450$20.7K
    992144,41532,500110$80$17.6K
    312371412040$270$12.8K
    312311245050$130$10.2K
    99457610720150$40$10.1K
    9921318,38729,79070$60$8.4K
    30140578020$280$7.8K
    958001818040$90$7K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles LanoTXOtolaryngology Physician$601.2K$0
    Jaecel ShahTXOtolaryngology Physician$450.4K$0
    Manish WaniTXOtolaryngology Physician$437.7K$0
    Jason AcevedoTXOtolaryngology Physician$383.2K$0
    Murtaza GhadialiTXOtolaryngology Physician$372.8K$0
    Jeffrey ChimentiTXOtolaryngology Physician$360.6K$0
    Ryan NeilanTXOtolaryngology Physician$240.9K$0
    Pavlina SuchanovaTXOtolaryngology Physician$203.5K$0
    Michael MooreTXOtolaryngology Physician$198.8K$0
    Daniel FranklinTXOtolaryngology Physician$182K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Urgent Care PATXUrgent Care Clinic/Center$0$25.2M
    Maxim Healthcare Services, Inc.TXHome Health Agency$0$19M
    Shaun S. Varghese, M.d., PLLCTXNeurology with Special Qualifications in Child Neurology Physician$0$16.8M
    Singleton Associates PATXDiagnostic Radiology Physician$0$16.2M
    Guy BurrowsTXNeurology Physician$11.3M$0
    Trifecta Pharmacy LLCTXCommunity/Retail Pharmacy$7.9M$1.3K
    Samir ShirodkarTXUrology Physician$3.4M$0
    Randall JohnsonTXRheumatology Physician$2.5M$0
    Wise Diagnostic Systems, LLCTXClinical Medical Laboratory$2M$451.8K
    Asit ChoksiTXMedical Oncology Physician$2.4M$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. Texas Distribution
    Donald Newland — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas