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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatrick Fall
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    Patrick Fall — Billing Profile & Reimbursement Data

    NPI 1588638894 · Abington, PA · Anesthesiology Physician

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    Patrick Fall is a anesthesiology physician provider located in Abington, Pennsylvania. This profile covers 37 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
    OrganizationPatrick Fall
    Address1200 Old York Rd
    CityAbington
    StatePA
    ZIP19001
    TaxonomyAnesthesiology Physician
    NPI EnumeratedFebruary 14, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…4,190$100$431.5K
    0275TN/A170$790$133.4K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1,010$110$113K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,770$60$108K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…410$240$99.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…490$190$91.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,550$50$80.5K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…370$150$56.2K
    99205The provider sees a new 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 provider…260$180$46.5K
    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…460$70$31.9K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368594020$6,350$139.6K
    0275T35030$2,160$112.6K
    6365084040$1,960$107.6K
    G0480940270$110$94.5K
    G048343090$240$53.6K
    803078100300$60$42.6K
    G0481860100$150$37.4K
    6448324534060$190$18.6K
    646357323030$360$16.1K
    99214123,230100$80$14.5K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Philip SassoPASpecialist$1.4M$0
    Joel WolfPAVascular & Interventional Radiology Physician$1.3M$4.7K
    Chee WooDEPain Medicine Physician$913.5K$140
    Sanjay ShahPAPain Medicine Physician$913K$0
    Jeremy JaffePASpecialist$862K$0
    Chad MetzgerPAInterventional Pain Medicine Physician$471.1K$0
    Jennifer WeedPANurse Practitioner$413.1K$1.1K
    Soon JungPAPain Medicine (Anesthesiology) Physician$408.3K$0
    Carmen ChengPAPhysician Assistant$370.1K$0
    Daniel NasrDEPain Medicine Physician$236.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abington Memorial HospitalPAGeneral Acute Care Hospital$0$16.6M
    Peter VillasPADiagnostic Radiology Physician$376.5K$50
    Michael GiulianiPAPhysical Therapist$314K$0
    Brad KleinPANeurology Physician$275.6K$0
    Phuong TienPAFamily Medicine Physician$243.5K$16.3K
    Wayne PinoverPARadiation Oncology Physician$255.8K$0
    James CookPANeurology Physician$241.3K$0
    Joseph NejmanPAColon & Rectal Surgery Physician$239.8K$0
    Joseph D'alonzoPADiagnostic Radiology Physician$225.5K$0
    David WeismanPANeurology Physician$218.1K$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. Pennsylvania Distribution
    Patrick Fall — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania