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    OpenPayerNPI Medicare & MedicaidDuncan Watley
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    Duncan Watley — Billing Profile & Reimbursement Data

    NPI 1689023038 · Missoula, MT · Otolaryngology Physician

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    Duncan Watley is a otolaryngology physician provider located in Missoula, Montana. This profile covers 15 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
    OrganizationDuncan Watley
    Address700 W Kent Ave
    CityMissoula
    StateMT
    ZIP59801
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 7, 2016

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

    Payer SourceTotal Paid
    Medicare$128.8K
    Medicaid$3.9K

    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
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.210$130$28.3K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.90$250$21.5K
    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…180$100$17K
    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…100$130$12K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.20$390$9.2K
    31257The provider performs a complete excision of the ethmoid air cells (anterior and posterior) and widens the opening of the sphenoid sinus cavity. The procedure is performed to treat chronic sinusitis.20$490$8.3K
    31276In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal…20$350$7.6K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.60$90$5.2K
    61782In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…30$140$4.5K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).40$120$4.2K

    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
    3127621030$880$23K
    3125721020$670$12.8K
    992146201,810100$70$12.4K
    3123711050$260$12.3K
    951651010630$10$8.9K
    3123113050$120$8.6K
    3052021020$420$7.6K
    992131,1601,73090$50$7.2K
    3014021020$250$6.3K
    3125621020$250$5.2K

    Showing 1–10 of 15

    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…20$160$3.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Montana 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…483530580$70$224.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marcus Daly Memorial Hospital CorporationMTCritical Access Hospital$0$4.4M
    Community Hospital Of AnacondaMTPediatric Adolescent Medicine Physician$0$1.4M
    Carmen GotaUTRheumatology Physician$1.2M$0
    Community Hospital Of AnacondaMTFamily Medicine Physician$0$1.1M
    Community Hospital Of AnacondaMTCritical Access Hospital$0$1.1M
    Community Hospital Of AnacondaMTFamily Medicine Physician$0$669.3K
    Brian BigoniCADiagnostic Radiology Physician$399.4K$0
    James SlaterOKAdult Reconstructive Orthopaedic Surgery Physician$352.3K$0
    Karl WestenfelderMTUrology Physician$286.9K$0
    Shahid ChaudharyMTNephrology Physician$268.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Montana Mental Health CenterMTMental Health Clinic/Center (Including Community Mental Health Center)$0$87.8M
    Opportunity Resources IncMTDevelopmentally Disabled Services Day Training Agency$0$48.5M
    Missoula Developmental Service CorpMTNon-emergency Medical Transport (VAN)$0$33.6M
    Express Personnel ServicesMTNursing Care Agency$0$20.4M
    3 Rivers Mental Health Solutions LLCMTCommunity/Behavioral Health Agency$0$16.7M
    Missoula County Public SchoolsMTLocal Education Agency (LEA)$0$16.3M
    Meadowlark Home Care LLCMTHome Health Agency$0$12.9M
    Client Dedicated Services, IncMTHome Health Agency$0$10.6M
    Children's Dentistry Of The RockiesMTPediatric Dentistry$0$10.1M
    Missoula Pediatric Dentistry PCMTPediatric Dentistry$0$9.3M

    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. Montana Distribution
    Duncan Watley — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Duncan Watley — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana