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    OpenPayerNPI Medicare & MedicaidWilliam Hall
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    William Hall — Billing Profile & Reimbursement Data

    NPI 1588613301 · Denver, CO · Emergency Medical Services (Emergency Medicine) Physician

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    William Hall is a emergency medical services (emergency medicine) physician provider located in Denver, Colorado. This profile covers 13 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
    OrganizationWilliam Hall
    AddressDept #0861
    CityDenver
    StateCO
    ZIP80256
    TaxonomyEmergency Medical Services (Emergency Medicine) Physician
    NPI EnumeratedMay 9, 2006

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

    Payer SourceTotal Paid
    Medicare$8.5K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The 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…40$80$3.4K
    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…30$70$1.9K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.20$40$670
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…10$50$650
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.20$30$460
    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…20$20$350
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30$10$220
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$200
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$190
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$160

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005322825080$10$10K
    70450332350160$30$7.5K
    8502518124070$10$7.3K
    992135,3977,20070$60$6.6K
    992039732,65030$70$3.1K
    364158271,04070$10$2.8K
    8763510213020$50$2.5K
    96374203030$30$1.2K
    7104648770050$10$1.2K
    9300047891020$10$890

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharon GrundyCOFamily Medicine Physician$166.1K$0
    Daniel HehirNMEmergency Medicine Physician$10.5K$0
    Diana KoellikerCOEmergency Medicine Physician$8.8K$0
    Paul KoellikerAZEmergency Medicine Physician$4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Melissa KnightCOEmergency Medical Services (Emergency Medicine) Physician$45.6K$0
    Tadd FergusonCOEmergency Medical Services (Emergency Medicine) Physician$37.4K$0
    David PettitCOEmergency Medical Services (Emergency Medicine) Physician$35.6K$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. Colorado Distribution
    William Hall — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado