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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Mcauley
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    James Mcauley — Billing Profile & Reimbursement Data

    NPI 1598776338 · Tupelo, MS · Otology & Neurotology Physician

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    James Mcauley is a otology & neurotology physician provider located in Tupelo, Mississippi. This profile covers 21 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
    OrganizationJames Mcauley
    Address618 Pegram Dr
    CityTupelo
    StateMS
    ZIP38801
    TaxonomyOtology & Neurotology Physician
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicare$147.8K
    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.

    21 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…620$90$53.7K
    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…320$100$33.7K
    31525The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the…60$170$10.5K
    69801The provider makes a surgical incision into the labyrinth (the inner ear) and instills or perfuses one or more drugs, such as a steroid or an antibiotic, through the tympanic membrane.50$160$7.8K
    69631The provider reconstructs the tympanic membrane, or eardrum, to repair a perforation. This might involve reconstruction of the ear canal, an incision into the tympanic attic and or other surgeries on…10$690$7.6K
    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…50$120$6.5K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.40$150$5.5K
    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.40$120$5.2K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…290$20$5.1K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.30$90$2.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145494,110170$70$21.9K
    6963111010$1,200$13.2K
    992133,7104,000100$50$10.3K
    9921533290040$110$9K
    3152521050$170$8.6K
    31231264050$120$8.5K
    31575536070$80$7K
    6980111040$160$6.2K
    9920538743030$140$6.1K
    99204202,15040$100$5.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ear, Nose & Throat Physicians Of North Miss., P.A.MSOtolaryngology Physician$0$2.3M
    Matthew StevensMSOtolaryngology Physician$231.4K$1.5K
    James BerryMSOtolaryngology Physician$225.4K$0
    Robert YarberMSOtolaryngology Physician$199.3K$2.7K
    Kurt NelsonMSOtolaryngology Physician$168.3K$0
    Ryan SimmonsMSOtolaryngology Physician$151.3K$0
    Alison FarleyMSPhysical Therapist$115.2K$0
    Kacie HollimonMSFamily Nurse Practitioner$74.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    James Mcauley — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi