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NPI 1568484152 · Nacogdoches, TX · Otolaryngology Physician
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Jack Erwin is a otolaryngology physician provider located in Nacogdoches, Texas. This profile covers 10 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jack Erwin |
| Address | 4740 Ne Stallings Dr |
| City | Nacogdoches |
| State | TX |
| ZIP | 75965 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | July 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $174.6K |
| Medicare | $82.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 570 | $60 | $32.2K |
| 99203 | The provider sees a new 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 provider… | 370 | $70 | $24.1K |
| 92553 | The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of… | 290 | $30 | $8.3K |
| 69433 | The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia. | 40 | $150 | $5.8K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 330 | $10 | $3.6K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 110 | $30 | $3.4K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 20 | $90 | $1.9K |
| 30901 | The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose. | 20 | $110 | $1.8K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 30 | $30 | $1.1K |
| 92555 | The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech). | 10 | $10 | $120 |
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
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 1,230 | $60 | $72.5K |
| 99213 | The 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… | 1,380 | $30 | $46.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 100 | $200 | $19K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 110 | $180 | $18.6K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 1,240 | $10 | $14.9K |
| 92553 | The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of… | 50 | $30 | $1.5K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 10 | $30 | $350 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 30 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 49 | 110 | 80 | $1,260 | $398.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 69 | 130 | 150 | $370 | $240.6K |
| 99213 | The 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… | 2,412 | 6,040 | 710 | $40 | $232.8K |
| 99203 | The provider sees a new 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 provider… | 262 | 1,860 | 130 | $70 | $65.4K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 66 | 240 | 480 | $20 | $40.2K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 101 | 110 | 220 | $40 | $22.1K |
| 92553 | The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of… | 11 | 10 | 250 | $30 | $20.7K |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 3 | 10 | 70 | $1 | $50 |
Other providers in the same ZIP code as Jack Erwin, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Th Healthcare, Ltd | TX | General Acute Care Hospital | $0 | $12.8M |
| Doctors Surgery Center, Inc | TX | Ambulatory Surgical Clinic/Center | $2.5M | $56.4K |
| James Berg | TX | Ophthalmology Physician | $1.1M | $0 |
| Anna Lehmann | TX | Ophthalmology Physician | $861.9K | $0 |
| Mark Cline | TX | Family Medicine Physician | $625.8K | $0 |
| Shannon Smith | TX | Ophthalmology Physician | $447K | $0 |
| Steven Overturf | TX | Orthopaedic Surgery Physician | $400.8K | $0 |
| Timothy Young | TX | Ophthalmology Physician | $285.3K | $0 |
| Lauren Davis | TX | Physician Assistant | $256.6K | $0 |
| Michaela Overturf | TX | Dermatology Physician | $240K | $0 |
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