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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKelsey Dudgeon
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    Kelsey Dudgeon — Billing Profile & Reimbursement Data

    NPI 1598326365 · New York, NY · Specialist

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    Kelsey Dudgeon is a specialist provider located in New York, New York. This profile covers 9 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationKelsey Dudgeon
    Address116 W 32nd St
    CityNew York
    StateNY
    ZIP10001
    TaxonomySpecialist
    NPI EnumeratedJune 24, 2019

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

    Payer SourceTotal Paid
    Medicare$110.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92526The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.660$70$48.7K
    97130The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…1,080$20$19.5K
    97129The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…600$20$11.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.480$20$10.9K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…200$50$10.2K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.30$200$5.5K
    92610Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…30$80$2.2K
    96125In this procedure, the provider performs standardized cognitive performance testing, which is a functional assessment test for a person with memory loss.10$80$1.1K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.30$20$550

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92507153220330$60$29.2K
    925266100180$80$21.6K
    971301440740$20$20.6K
    975302,0784,600420$30$19.2K
    97129960270$20$7.1K
    92523349020$190$6.6K
    975351,3491,62090$20$5K
    926104711030$70$2.9K
    9612591020$80$2.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Management Partners LLC (ccmp)NYCase Management Agency$0$247M
    Greatcare IncNYHome Health Agency$0$231.6M
    Xincon Home-healthcare Services, Inc.NYHome Health Agency$0$191.8M
    Act On It Home Care Inc.NYHome Health Agency$0$57.4M
    Theracare Of New York IncNYEarly Intervention Provider Agency$0$43.6M
    Young Adult Institute, Inc.NYDevelopmental Disabilities Clinic/Center$0$37.2M
    Community Healthcare Network, IncNYFederally Qualified Health Center (FQHC)$0$35.6M
    West Midtown Management Group IncNYMulti-Specialty Clinic/Center$0$34.9M
    Services For The Underserved - Mental Health Programs IncNYIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$34.6M
    Greatcare IncNYHome Health Agency$0$33.2M

    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. New York Distribution
    Kelsey Dudgeon — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York