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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGary Stanton
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    Gary Stanton — Billing Profile & Reimbursement Data

    NPI 1598749939 · Concord, MA · Neurology Physician

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    Gary Stanton is a neurology physician provider located in Concord, Massachusetts. This profile covers 10 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
    OrganizationGary Stanton
    AddressJohn Cummings Bldg, Emmerson Hospital
    CityConcord
    StateMA
    ZIP01742
    TaxonomyNeurology Physician
    NPI EnumeratedNovember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$53.6K
    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.

    10 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…290$100$29.3K
    99204The provider sees a new 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 provider…50$130$7K
    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…20$170$3.7K
    97810The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…90$30$2.9K
    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$80$2.6K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…20$100$2.2K
    97811The provider pierces the skin using one or more needles and stimulates anatomical points on or in the skin by manipulating the needles by hand. This code represents each additional 15 minutes of…90$30$2.1K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…40$40$1.4K
    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…10$130$1.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$50$750

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,97215,410110$80$15.6K
    95810569030$210$9.1K
    992156,2346,36040$120$8.9K
    9921310,03113,70070$60$8.8K
    9588611315080$70$8K
    97811310230$20$7K
    9781041090$30$6K
    992041,7545,87030$120$5.6K
    992051,3332,43030$160$5.5K
    992122,1442,66030$40$2.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eliot Community Human ServicesMAMental Health Clinic/Center (Including Community Mental Health Center)$0$36.9M
    Emerson HospitalMAGeneral Acute Care Hospital$0$18.6M
    Anew Health LLCMAAdult Day Care Clinic/Center$0$17M
    Minute Man Arc For Human Services, Inc.MAIn Home Supportive Care Agency$0$10M
    Minute Man Arc For Human Services, Inc.MADevelopmental Disabilities Clinic/Center$0$9.6M
    Matthew ZipoliMAMOHS-Micrographic Surgery Physician$1.1M$0
    Jennifer ToyoharaMADermatology Physician$859.1K$0
    Margo MoskosMADiagnostic Radiology Physician$717.3K$137.9K
    Shields Pet-ct At Emerson Hospital LLCMAMobile Radiology Clinic/Center$590.3K$0
    Town Of ConcordMALand Ambulance$346.6K$100.9K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Gary Stanton — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts