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    OpenPayerNPI Medicare & MedicaidBenjamin Tweel
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    Benjamin Tweel — Billing Profile & Reimbursement Data

    NPI 1609184845 · Columbus, OH · Otolaryngology Physician

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    Benjamin Tweel is a otolaryngology physician provider located in Columbus, Ohio. This profile covers 10 Medicare and 8 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
    OrganizationBenjamin Tweel
    Address915 Olentangy River Rd
    CityColumbus
    StateOH
    ZIP43212
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 22, 2010

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

    Payer SourceTotal Paid
    Medicare$121.2K
    Medicaid$16.2K

    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
    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…500$80$38.8K
    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…310$100$30K
    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.140$120$17.1K
    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.90$180$15.7K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…40$190$7.3K
    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…40$110$4.3K
    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…20$150$3.5K
    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…40$60$2.7K
    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…50$30$1.5K
    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.50$10$540

    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
    9921415,23420,010100$70$11.7K
    925074350150$50$10.8K
    31579224050$110$9.9K
    9921368420,00070$50$6.6K
    312313618040$110$6.5K
    992045,0168,33030$100$4.4K
    31575727040$80$4.2K
    99203106,38030$60$2.9K
    9255725836090$20$2.5K
    9256722331080$10$980

    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.

    8 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…380$20$7.6K
    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$30$5.8K
    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…180$10$2K
    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.10$60$660
    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.50$10$250
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…30$1$80
    1036FN/A860$0$0
    4004FThe provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    8 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…2,8015,080560$40$323.9K
    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…6951,690120$50$60.1K
    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.7070180$100$47.2K
    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…82120410$40$43.5K
    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.123150480$20$38.8K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…2120130$40$38.5K
    1036FN/A318800350$1$30
    4004FThe provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…398430390$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ananth ShankarNYNuclear Cardiology Physician$358.3K$5.3M
    Jessica LeeNYOphthalmology Physician$1.9M$120.9K
    David PinhasNYOphthalmology Physician$1.4M$330.5K
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M
    Lisa LawNYOphthalmology Physician$59.5K$1.5M
    Samir FarhatNYInternal Medicine Physician$1M$222.2K
    Avnish DeobhaktaMARetina Specialist (Ophthalmology) Physician$1M$141.3K
    Alessandra BertolucciNJOphthalmology Physician$1.1M$0
    Nazanin BarzidehNYOphthalmology Physician$844.5K$3.1K
    Sung Yup KimNYVascular Surgery Physician$290.9K$515.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Osu Histology Lab LLCOHClinical Medical Laboratory$373.1K$1.4M
    Amit TandonOHOphthalmology Physician$320.9K$0
    Larry ToddOHOrthopaedic Surgery of the Spine Physician$233.1K$0
    Mark SlabaughOHGlaucoma Specialist (Ophthalmology) Physician$197.9K$0
    Ian ValerioOHPlastic Surgery Physician$188.2K$0
    Matthew OhrOHRetina Specialist (Ophthalmology) Physician$144.2K$0
    Flexsus LLCOHClinical Medical Laboratory$5.7K$96.1K
    Fatoumata YanogaOHRetina Specialist (Ophthalmology) Physician$101.3K$0
    Sachin JhawarOHRadiation Oncology Physician$99.3K$0
    Desmond StutzmanOHSurgery of the Hand (Surgery) Physician$93.5K$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. Ohio Distribution
    Benjamin Tweel — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Benjamin Tweel — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio