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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Mcmahon
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    Douglas Mcmahon — Billing Profile & Reimbursement Data

    NPI 1568555001 · Boise, ID · Family Medicine Physician

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    Douglas Mcmahon is a family medicine physician provider located in Boise, Idaho. This profile covers 14 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
    OrganizationDouglas Mcmahon
    Address12080 W Mcmillan Rd
    CityBoise
    StateID
    ZIP83713
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$61.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…570$40$22.7K
    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…430$50$19.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$50$8.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…80$80$6K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$50$2.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$40$1K
    G0444Annual depression screening, 5 to 15 minutes20$20$380
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…30$10$360
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$10$340
    G0009Administration of pneumococcal vaccine10$30$310

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141992,69090$70$10.4K
    G04396453060$110$8.9K
    G000914717020$30$8.8K
    906944219040$70$5.9K
    99213562,77070$50$5.7K
    2061016126040$40$2.3K
    9949546020$110$2.2K
    G04447010050$20$1.1K
    7104613223050$10$1K
    9637221222040$10$590

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$59.2M
    St Luke's Clinic LLCIDFamily Medicine Physician$0$39.5M
    Asante Physician PartnersORFamily Medicine Physician$0$27.2M
    St Lukes Regional Medical CenterIDGeneral Acute Care Hospital$0$25.1M
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$6.9M
    St Lukes Clinic-treasure Valley LLCORRural Health Clinic/Center$0$2.1M
    St Luke's Regional Medical CenterIDHome Health Agency$0$1.6M
    Peter CastellanosIDNeurology with Special Qualifications in Child Neurology Physician$0$599.5K
    Charles CarmeciORThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$288.4K$0
    Hammad QadirORNephrology Physician$277.5K$8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rise, IncIDVoluntary or Charitable Agency$0$263.8M
    James EarlIDRetina Specialist (Ophthalmology) Physician$3.1M$0
    Trivium Life Services Mountain West, LLCIDMental Health Clinic/Center (Including Community Mental Health Center)$0$3M
    Trinity Mountain HealthIDHome Health Agency$0$2.2M
    Boise Toothtown Dentistry For Kids PLLCIDPediatric Dentistry$0$2.1M
    Mountain View Behavioral Health, LLCIDCommunity/Behavioral Health Agency$0$1.7M
    Denton RobertsIDOphthalmology Physician$1.6M$0
    Edgewood Spring Creek Boise, LLCIDAssisted Living Facility$0$1.6M
    Edgewood Spring Creek Eagle Island LLCIDAssisted Living Facility$0$1.3M
    Zrj IncIDPhysical Therapist$0$1.2M

    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. Idaho Distribution
    Douglas Mcmahon — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho