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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Mclaughlin
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    John Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1609854157 · Harrisburg, PA · Gastroenterology Physician

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    John Mclaughlin is a gastroenterology physician provider located in Harrisburg, Pennsylvania. 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
    OrganizationJohn Mclaughlin
    Address4760 Union Deposit Rd
    CityHarrisburg
    StatePA
    ZIP17111
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 5, 2006

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

    Payer SourceTotal Paid
    Medicare$110.8K
    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
    G0105Colorectal cancer screening; colonoscopy on individual at high risk80$170$13.3K
    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…210$60$13.2K
    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…140$90$12.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…190$60$11.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$100$10K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…50$110$6.2K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$80$5.7K
    45388In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…30$220$5.5K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$150$3.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$180$3.8K

    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
    4538564486050$290$24.3K
    992149,27123,230100$80$14.5K
    4538081184040$180$12.5K
    G01056950030$270$12.4K
    992335,8336,63070$90$12K
    4323962588050$130$9.6K
    992322,66610,87080$60$9.6K
    G012116138020$270$8.1K
    992236,1137,02040$130$7.8K
    992133,86722,37070$60$7.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin WestraPAGastroenterology Physician$103.9K$660
    Anish MammenNYGastroenterology Physician$66.1K$1.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kings Home Healthcare Inc.PAHome Health Agency$0$65M
    Creative Home Care LLCPAHome Health Agency$0$9.8M
    Paragon Home Health Care CorporationPAHome Health Agency$0$7.8M
    GaudenziaPASubstance Use Disorder Rehabilitation Clinic/Center$0$6.9M
    Physician's Mobile X-ray, Inc.PAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.8M$429K
    Harrisburg Endoscopy & Surgery Center, Inc.PAAmbulatory Surgical Clinic/Center$435.1K$362.6K
    Stacy CastaldiPADiagnostic Radiology Physician$323.8K$180
    Suneetha VaddineniPANephrology Physician$212K$0
    Rhondey HarfordPADiagnostic Radiology Physician$58.7K$10.4K

    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. Pennsylvania Distribution
    John Mclaughlin — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania