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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDwight Ligham
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    Dwight Ligham — Billing Profile & Reimbursement Data

    NPI 1669584686 · New Haven, CT · Interventional Pain Medicine Physician

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    Dwight Ligham is a interventional pain medicine physician provider located in New Haven, Connecticut. This profile covers 10 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
    OrganizationDwight Ligham
    Address1 Long Wharf Drive
    CityNew Haven
    StateCT
    ZIP06511
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$347.3K
    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.

    10 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…2,200$90$202.6K
    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…1,020$70$71.6K
    J0588Injection, incobotulinumtoxin a, 1 unit10,400$1$41.6K
    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…100$140$13.3K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…30$200$6.7K
    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$160$5.4K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…10$200$2.4K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…10$140$1.9K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…30$50$1.4K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.230$1$700

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058851013,500$1$60.8K
    9921426,48090$90$14.2K
    62323519040$190$12.3K
    99213306,44070$60$8.1K
    992152411,84030$130$6.7K
    62321293020$200$5.1K
    9920524080020$160$4.6K
    27096546020$130$4.6K
    769427418020$30$1.3K
    96127616030$1$190

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yale UniversityCTAnesthesiology Physician$0$137.3M
    Planned Parenthood Of Southern New England, Inc.CTAmbulatory Family Planning Facility$0$37.9M
    Yale New Haven Health At Home, Inc.CTHome Health Agency$0$17M
    Yale-new Haven HospitalCTPediatric Dentistry$0$13.7M
    Apt Foundation IncCTMethadone Clinic$1.2M$11.6M
    Clifford W. Beers Guidance Clinic IncCTAdolescent and Children Mental Health Clinic/Center$0$11.6M
    Chemical Abuse Services Agency, Inc.CTCommunity/Behavioral Health Agency$162.8K$10.6M
    New Era Rehabilitation Center, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Sanjay AggarwalCTInternal Medicine Physician$0$4.5M
    Kristi RossomandoCTGeneral Practice Dentistry$0$4M

    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. Connecticut Distribution
    Dwight Ligham — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut