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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDale Menard
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    Dale Menard — Billing Profile & Reimbursement Data

    NPI 1629031323 · Hickory, NC · Neurology Physician

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    Dale Menard is a neurology physician provider located in Hickory, North Carolina. This profile covers 16 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
    OrganizationDale Menard
    Address1985 Tate Blvd Se
    CityHickory
    StateNC
    ZIP28602
    TaxonomyNeurology Physician
    NPI EnumeratedApril 11, 2006

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

    Payer SourceTotal Paid
    Medicare$102.2K
    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.

    16 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…420$80$33K
    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…140$70$10.1K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…60$180$9.8K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…50$170$9.2K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…70$120$8.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$120$6.6K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…30$200$5.7K
    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…80$60$4.7K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.40$90$3.3K
    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$120$2.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,17718,060110$80$15.1K
    958115512040$260$12.1K
    958109114040$250$11.8K
    992322,6295,69070$60$8.1K
    958863819060$70$7.1K
    958163010040$140$6.8K
    992231,3084,58030$130$6.5K
    9591255020$170$5.2K
    992045,4258,43030$110$4.8K
    9591394020$200$4.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronson Methodist HospitalMIHospitalist Physician$0$64.8M
    Dlp Western Carolina Physician Practices LLCNCInternal Medicine Physician$0$14M
    Bronson Battle Creek HospitalMIInternal Medicine Physician$0$9.8M
    Ashwani SastryNCVascular Surgery Physician$1.3M$0
    Radhakrishnan RamarajNCCardiovascular Disease Physician$308.8K$5.2K
    Charles PotterGANeonatal-Perinatal Medicine Physician$0$275.9K
    Joshua BrownNCPhysical Medicine & Rehabilitation Physician$254.7K$0
    Gregory PiselNCNephrology Physician$249.6K$0
    Ankur TiwariNJClinical Cardiac Electrophysiology Physician$234.8K$0
    Bakul PatelVAGastroenterology Physician$234.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NCHome Health Agency$0$40.4M
    Bayada Home Health Care, Inc.NCCommunity/Behavioral Health Agency$0$28.1M
    Christopher H. Brown, Bs Dent, Dds,paNCOral and Maxillofacial Surgery (Dentist)$0$21.8M
    Catawba Pediatric Associates, P.A.NCPediatrics Physician$0$20.2M
    Catawba Valley Medical CenterNCGeneral Acute Care Hospital$0$17.3M
    Pediatric Therapy NetworkNCPediatric Physical Therapist$0$12.2M
    Urgent Care Of Mountain View PLLCNCUrgent Care Clinic/Center$0$11.5M
    Childrens Neurotherapy ServicesNCPediatric Occupational Therapist$0$9.8M
    Creative Change CounselingNCMental Health Clinic/Center (Including Community Mental Health Center)$0$9.7M
    Rafael Rivera, Jr, Dds, PLLCNCDentist$0$8.8M

    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. North Carolina Distribution
    Dale Menard — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina