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    OpenPayerNPI Medicare & MedicaidLouis Spencer
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    Louis Spencer — Billing Profile & Reimbursement Data

    NPI 1669642484 · Cartersville, GA · Family Medicine Physician

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    Louis Spencer is a family medicine physician provider located in Cartersville, Georgia. This profile covers 20 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
    OrganizationLouis Spencer
    Address650 Henderson Drive Suite 504
    CityCartersville
    StateGA
    ZIP30120
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 7, 2008

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

    Payer SourceTotal Paid
    Medicare$59.4K
    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.

    20 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…390$80$30.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$110$6.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…70$70$4.9K
    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…60$50$3.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…310$10$2.8K
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…80$30$2.4K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit10$160$1.9K
    92552The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.80$20$1.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$50$1.7K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes70$20$1.6K

    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
    992142,25913,640120$80$17.8K
    G04391,5742,90070$120$12.4K
    992137,89013,36080$60$9.2K
    206108361,32060$50$5.8K
    9949731886050$60$5.7K
    G043837546020$160$4K
    71045618640420$10$3.6K
    9254862020$30$2.7K
    G04466516050$20$2.3K
    G044230032050$20$1.5K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cartersville Center, LLCGAMethadone Clinic$129.1K$701.8K
    Muhammad IshaqueGANephrology Physician$433.3K$0
    Respiratory Consultants Of Georgia LLCGAPulmonary Disease Physician$0$413.1K
    Maxwell PrempehGAInterventional Cardiology Physician$309.5K$0
    Afu AbdulGANephrology Physician$291.2K$0
    Nonyelum EjiekeGARheumatology Physician$256.7K$0
    Pamela BridgemanGAClinical Social Worker$0$226.4K
    Cartersville Ob-gyn Assoc PCGAObstetrics & Gynecology Physician$0$222.6K
    Jeffrey ProctorGAUrology Physician$196.4K$0
    Yaman TayaraGASpecialist$195.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Louis Spencer — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia