Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Idol
    Ask Trek AI about this page

    Jeffrey Idol — Billing Profile & Reimbursement Data

    NPI 1689682734 · Laplata, MD · Podiatrist

    Customize your policy alerts

    Sign up for Jeffrey Idol — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffrey Idol is a podiatrist provider located in Laplata, Maryland. 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Idol
    Address515 Charles Street
    CityLaplata
    StateMD
    ZIP20646
    TaxonomyPodiatrist
    NPI EnumeratedAugust 4, 2006

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

    Payer SourceTotal Paid
    Medicare$164.3K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,280$60$81.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…380$40$15K
    99203The provider sees a new 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 provider…170$80$13.5K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…140$80$11.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.250$30$7.9K
    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…70$100$7K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.100$50$5.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…90$50$4.7K
    G0127Trimming of dystrophic nails, any number270$10$3.8K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.80$50$3.6K

    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
    992147,01010,270150$90$24.1K
    11056198260190$60$17.8K
    11721145260300$30$14.5K
    992131209,280100$60$12.5K
    11720185230290$30$11.6K
    110559621090$60$8K
    G012774150260$10$6.7K
    992032753,63040$80$5K
    975971816050$70$4.9K
    992221,7932,26030$100$4.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Precision Orthopedics And Sports MedicineMDSports Medicine (Orthopaedic Surgery) Physician$0$9.9M
    Vipul MangalMDPain Medicine (Anesthesiology) Physician$2.2M$0
    Roy CarlsMDOrthopaedic Surgery Physician$409.4K$0
    Rishi BhatnagarMDOrthopaedic Surgery Physician$317.3K$80.4K
    Warren YuDCOrthopaedic Surgery of the Spine Physician$367.3K$0
    Satheesh RamineniOHAdult Reconstructive Orthopaedic Surgery Physician$314.9K$0
    Paul SimonettiMDPhysical Therapist$307.4K$0
    Gregg FerreroMDOrthopaedic Surgery Physician$288.5K$0
    Cathy CimagliaMDPodiatrist$234.9K$0
    Frederick LohrMDOrthopaedic Surgery Physician$195.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles County Board Of EducationMDCounselor$0$8.6M
    Center For Children, IncMDCommunity/Behavioral Health Agency$0$7.6M
    Charles County Nursing And Rehab CtrMDAdult Day Care Clinic/Center$0$6.6M
    Charles County County CommissionersMDAmbulance$1.1M$704.7K
    Civista Clinical Services, LLCMDEndoscopy Clinic/Center$226K$0
    Brandi SeniorMDMedical Physician Assistant$170.5K$0
    Edgar PeithmanMDPhysician Assistant$162.3K$0
    Ca'seem TylerMDFamily Nurse Practitioner$153.2K$0
    Ghassan HatoumMDGeneral Practice Physician$150.1K$0
    Peter TrentMDOrthopaedic Surgery Physician$145.6K$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. Maryland Distribution
    Jeffrey Idol — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland