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    OpenPayerNPI Medicare & MedicaidDouglas Langford
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    Douglas Langford — Billing Profile & Reimbursement Data

    NPI 1659343564 · Provo, UT · Neurology Physician

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    Douglas Langford is a neurology physician provider located in Provo, Utah. This profile covers 20 Medicare and 1 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
    OrganizationDouglas Langford
    Address1055 N 500 W
    CityProvo
    StateUT
    ZIP84604
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 3, 2006

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

    Payer SourceTotal Paid
    Medicare$120.7K
    Medicaid$20.5K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit5,750$10$28.8K
    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…130$160$20.1K
    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…230$90$20K
    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…210$70$14.4K
    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…60$210$13.2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…40$160$6.4K
    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…30$130$3.4K
    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…40$70$2.9K
    64405The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…30$80$2.5K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…20$120$2.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058516405,100$1$34.4K
    992147674,08080$80$11.6K
    9591321060$210$8.8K
    992157771,19040$110$7.5K
    9588696050$70$6.4K
    992132,7903,68060$50$6.4K
    95911104020$150$5.3K
    64615222040$90$4.4K
    992045231,79030$100$4.1K
    99205346020$140$4K

    Showing 1–10 of 20

    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.

    1 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…170$120$20.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7101,340200$80$144K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Joseph TeUTHematology & Oncology Physician$1.6M$0
    Brandt EsplinUTHematology & Oncology Physician$1.1M$0
    Jamison JonesUTCardiovascular Disease Physician$1M$0
    Steven WallentineUTHematology & Oncology Physician$1M$7.6K
    Robert DowseUTPediatrics Physician$0$867K
    David SladeUTOphthalmology Physician$651.1K$0
    Marc NuttallUTHematology & Oncology Physician$549.1K$580
    Leslee AdamsUTFamily Nurse Practitioner$513.4K$0
    David CragunUTCardiovascular Disease Physician$465.1K$940

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Utah Valley Pediatrics L.L.C.UTPediatrics Physician$0$11.9M
    Riverwoods Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$737.9K$5M
    Utah Valley Emergency Physicians IncUTEmergency Medicine Physician$0$4.7M
    Ryan IsomUTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$3.3M
    Richard CoreyUTRetina Specialist (Ophthalmology) Physician$3M$50.1K
    Provo City Board Of EducationUTLocal Education Agency (LEA)$0$3M
    Robert WelchUTRetina Specialist (Ophthalmology) Physician$2.5M$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. Utah Distribution
    Douglas Langford — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Douglas Langford — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah