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    OpenPayerNPI Medicare & MedicaidJames Prueter
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    James Prueter — Billing Profile & Reimbursement Data

    NPI 1649525684 · Columbus, OH · Otolaryngology Physician

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    James Prueter is a otolaryngology physician provider located in Columbus, Ohio. This profile covers 13 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 Prueter
    Address5193 W Broad St Ste 100
    CityColumbus
    StateOH
    ZIP43228
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 16, 2012

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

    Payer SourceTotal Paid
    Medicare$77.4K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…20$930$20.5K
    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…200$80$16.2K
    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…120$120$13.6K
    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…160$60$9.6K
    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…60$120$7.2K
    99205The provider sees a new 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 provider…30$140$3.4K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.10$170$2K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing40$30$1.2K
    92511The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera.10$80$960
    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…10$70$900

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993011020$940$14.1K
    992145,44820,010100$70$11.7K
    992134,63320,00070$50$6.6K
    992151,2914,95030$110$5.9K
    992043968,33030$100$4.4K
    992059322,13020$140$4.2K
    992035,5056,38030$60$2.9K
    9255734636090$20$2.5K
    69433253020$150$2.3K
    6921026345040$30$2.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Kelleen GraverOHNurse Practitioner$2.1M$0
    Courtney RodgersPAGeneral Practice Physician$750.6K$2.5K
    Thomas SweeneyOHMedical Oncology Physician$712K$0
    Jarred BurkartOHHematology & Oncology Physician$659.8K$0
    Shaakir HasanOHRadiation Oncology Physician$615.3K$0
    Angela CaseyOHMOHS-Micrographic Surgery Physician$571.6K$0
    Kavya KrishnaOHHematology & Oncology Physician$565.3K$0
    Brian SeamanOHNeurological Surgery Physician$450.4K$0
    Sara PrattFLAdult Health Nurse Practitioner$424.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$72.3M
    Cems Of Ohio IncOHAmbulance$5.2M$13.6M
    Central Ohio Specialty Care, LLCOHDurable Medical Equipment & Medical Supplies$0$12.6M
    Emergency Medicine Physicians Of Franklin County, LtdOHEmergency Medicine Physician$0$11.7M
    Freedom Recovery LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$8.5M
    Child Care ConsultantsOHPediatrics Physician$0$8.3M
    Roberta WattsOHFamily Nurse Practitioner$23.1K$1.4M
    George YoussefOHInterventional Cardiology Physician$986.8K$0
    Mitesh ParekhOHUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$207.2K$0
    Heather ChildersOHEmergency Medicine Physician$100.3K$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
    James Prueter — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio