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    v1.0.28
    OpenPayerNPI Medicare & MedicaidErik Folch
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    Erik Folch — Billing Profile & Reimbursement Data

    NPI 1578739231 · Boston, MA · Pulmonary Disease Physician

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    Erik Folch is a pulmonary disease physician provider located in Boston, Massachusetts. This profile covers 12 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.

    Provider details (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 6

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    FieldValue
    Entity TypeIndividual
    OrganizationErik Folch
    Address185 Pilgrim Rd
    CityBoston
    StateMA
    ZIP02215
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 2, 2008

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

    Payer SourceTotal Paid
    Medicare$22.2K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.40$80$3.5K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…30$130$3.5K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.20$130$3.1K
    31641In this procedure, the provider performs rigid or flexible bronchoscopy to view airways during a procedure. She may or may not use fluoroscopic guidance. She uses a nonexcision method, such as by…20$200$3K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.30$80$2.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$120$1.8K
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…30$50$1.5K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…20$60$1.2K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.10$80$1K
    31645The provider uses a rigid or flexible bronchoscope to view the airways and aspirates (sucks out) fluid from the tracheobronchial tree, the branched distribution of airways of the lung that includes…20$40$780

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992155,6016,36040$120$8.9K
    3164151030$210$8.4K
    3162961020$110$3.6K
    3165262020$140$3.1K
    325559410020$90$2.6K
    3162843020$80$2K
    3162752020$80$2K
    31645183020$50$1.9K
    3165462020$50$1.7K
    770125411020$60$1.4K

    Showing 1–10 of 12

    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. Massachusetts Distribution
    Erik Folch — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts