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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndres Mogollon
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    Andres Mogollon — Billing Profile & Reimbursement Data

    NPI 1659595429 · Framingham, MA · Gastroenterology Physician

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    Andres Mogollon is a gastroenterology physician provider located in Framingham, Massachusetts. This profile covers 15 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
    OrganizationAndres Mogollon
    Address475 Franklin St
    CityFramingham
    StateMA
    ZIP01702
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 12, 2007

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

    Payer SourceTotal Paid
    Medicare$75.7K
    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.

    15 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…160$110$16.9K
    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…390$30$11.3K
    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…50$210$10.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$90$5.5K
    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…50$120$5.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$70$4.8K
    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…50$70$3.6K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…20$160$3.3K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…50$70$3.2K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…50$60$3.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305297520530$40$53.4K
    4538526746060$260$23.8K
    992145,70615,410110$80$15.6K
    4538018646050$160$11.9K
    992324,8165,40070$60$9.3K
    992138,27613,70070$60$8.8K
    4323918447050$120$8.4K
    88342364470120$40$8.3K
    992042,1505,87030$120$5.6K
    992221,7593,42030$100$4.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cambridge Public Health CommissionMAGeneral Acute Care Hospital$0$352.9M
    Cambridge Public Health CommissionMAClinic/Center$0$19.8M
    Cambridge Public Health CommissionMAGeneral Acute Care Hospital$0$9M
    Anubha SachetiMAGeneral Practice Dentistry$0$7M
    Shilpa DesaiMAOphthalmology Physician$1.6M$0
    Adam FeldmanMAUrology Physician$1.6M$0
    Robert NajarianMAAnatomic Pathology Physician$520.7K$878.6K
    Sean KearinFLMedical Oncology Physician$1.1M$0
    Lauren BiermanMAOphthalmology Physician$626.5K$5.5K
    Kenneth YuMAMOHS-Micrographic Surgery Physician$589.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$350.2M
    Vhs Acquisition Subsidiary Number 9 IncMAGeneral Acute Care Hospital$0$58.9M
    South Middlesex Opportunity Council IncMACommunity/Behavioral Health Agency$0$37.4M
    New England Family Dental PCMAPoint of Service$0$14.6M
    Justice Resource Institute, Inc.MADevelopmentally Disabled Services Day Training Agency$0$14.2M
    Advanced Home Care Services LLCMAHome Health Agency$0$12.4M
    New Horizons Medical, Inc.MAAddiction (Substance Use Disorder) Counselor$0$11.7M
    Robert JohnstonMAPsychiatry Physician$10.9K$11M
    Hdc Care Solutions, LLCMANurse Practitioner$0$8M
    Alec H. Jaret, Dmd, PCMADentist$0$7.3M

    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. Massachusetts Distribution
    Andres Mogollon — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts