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    OpenPayerNPI Medicare & MedicaidThomas Logan
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    Thomas Logan — Billing Profile & Reimbursement Data

    NPI 1598733008 · Owensboro, KY · Otolaryngology Physician

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    Thomas Logan is a otolaryngology physician provider located in Owensboro, Kentucky. This profile covers 11 Medicare and 6 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)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Logan
    Address2841 New Hartford Rd
    CityOwensboro
    StateKY
    ZIP42303
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMarch 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$85.3K
    Medicare$84.4K

    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.

    11 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…430$60$24.5K
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…20$640$14K
    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…190$70$13.5K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.1,170$10$11.7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.110$80$8.6K
    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…50$90$4.2K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.390$10$2.7K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.10$130$1.8K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).10$110$1.3K
    42975After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…20$70$1.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516537801,090$10$18.9K
    992145,3517,230110$70$14.1K
    6458211020$680$11.6K
    31231698040$130$9.3K
    3014031010$320$8.1K
    992134867,25080$50$7.7K
    9511751130200$10$5.2K
    31575611050$80$4.6K
    99203522,38030$70$2.9K
    4297551020$70$1.4K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 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…1,090$40$39.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.160$160$25.8K
    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…250$70$18K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.70$10$950
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…10$30$400
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.30$10$380

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6343,3401,020$30$296K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.4580260$430$263.3K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.92100580$10$119.8K
    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…5031,400130$50$45.8K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…5760430$20$22.7K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.85110640$10$20.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio County Hospital CorporationKYCritical Access Hospital$0$34.6M
    Roshan MathewKYInterventional Cardiology Physician$1M$0
    Michael ZachekKYSleep Medicine (Internal Medicine) Physician$214.5K$0
    Rejmon DedajKYPulmonary Disease Physician$188K$0
    Brian WardKYAnatomic Pathology & Clinical Pathology Physician$183K$0
    Eme IgbokweKYNeurology Physician$178.1K$0
    Matthew TaylorKYOtolaryngology Physician$61.3K$107.3K
    Robert MooreKYOrthopaedic Surgery Physician$137.6K$0
    Paul TennantKYOtolaryngology Physician$135.9K$0
    Tristan BrionesKYPhysical Medicine & Rehabilitation Physician$119.1K$210

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Owensboro Health IncKYGeneral Acute Care Hospital$0$148.8M
    Green River District Home HealthKYEarly Intervention Provider Agency$0$22.1M
    Wendell Foster's Campus For Developmental DisabilitiesKYComprehensive Outpatient Rehabilitation Facility (CORF)$0$19M
    Puzzle Pieces, Inc.KYCommunity/Behavioral Health Agency$0$13.2M
    Caretenders Vs Of Western Ky, LLCKYHome Health Agency$0$12.8M
    Truenorth Treatment Center, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$11.8M
    Community Alternatives Kentucky, Inc.KYCase Management Agency$0$9.5M
    Owensboro Pediatrics LLCKYPediatrics Physician$0$9.2M
    Owensboro Health Medical Group, IncKYPediatrics Physician$0$7.4M
    Green River District Health DeptKYHome Health Agency$0$7.2M

    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. Kentucky Distribution
    Thomas Logan — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Thomas Logan — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky