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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Mccalip
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    Benjamin Mccalip — Billing Profile & Reimbursement Data

    NPI 1649472663 · Dayton, OH · Anatomic Pathology & Clinical Pathology Physician

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    Benjamin Mccalip is a anatomic pathology & clinical pathology physician provider located in Dayton, Ohio. This profile covers 12 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
    OrganizationBenjamin Mccalip
    Address309 E Stroop Rd
    CityDayton
    StateOH
    ZIP45429
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 1, 2007

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

    Payer SourceTotal Paid
    Medicare$148.6K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.420$80$33.4K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.280$120$33.1K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…230$100$23.4K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…280$50$14.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…250$50$13.5K
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…280$40$11.3K
    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,…170$40$6.9K
    88177The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate to determine immediately whether a satisfactory sample is present to allow for…270$20$6K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…130$20$2.7K
    10006The provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and syringe. Report this code…50$40$2.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305364560470$40$39.2K
    88341291440200$30$8K
    88342418460100$40$5.6K
    88173121040$60$2.9K
    8836021623060$30$2.3K
    992121904,10030$30$1.7K
    1000518020$70$1.6K
    76536142030$30$1.5K
    1000621010$40$1.3K
    99202185020$40$1.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bikram Verma AnsilOHGastroenterology Physician$230.1K$0
    Nagaraja OrugantiOHGastroenterology Physician$211K$0
    Urmee SirajOHGastroenterology Physician$196.9K$0
    Jeffery NielsonOHDiagnostic Radiology Physician$180.5K$1.9K
    Sergei GumaOHAnatomic Pathology & Clinical Pathology Physician$141.3K$0
    Ronald FadellOHDiagnostic Radiology Physician$136.5K$0
    Tristan HandlerOHGastroenterology Physician$121K$0
    Mustafa MuslehOHGastroenterology Physician$120.3K$0
    Rebecca BalajOHAnatomic Pathology & Clinical Pathology Physician$113K$0
    Daniel HoodOHAnatomic Pathology & Clinical Pathology Physician$109.7K$2.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kav Health Group LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$24.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Kettering Network Radiologists IncOHDiagnostic Radiology Physician$0$16.1M
    Assisted Care By Black Stone Of Dayton, LLCOHHome Health Agency$0$12.4M
    City Of KetteringOHAmbulance$431.8K$1.1M
    Shahzad FarukhiOHInternal Medicine Physician$69.3K$1.4M
    Eugene KirklandOHDermatology Physician$1.3M$0
    Phillip HallOHMOHS-Micrographic Surgery Physician$651.7K$0
    Jason BallinOHDermatology Physician$578.9K$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 Mccalip — 7 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio