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    William Mugg — Billing Profile & Reimbursement Data

    NPI 1689761959 · So Hadley, MA · Internal Medicine Physician

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    William Mugg is a internal medicine physician provider located in So Hadley, Massachusetts. This profile covers 14 Medicare and 9 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
    OrganizationWilliam Mugg
    Address96 Lyman St
    CitySo Hadley
    StateMA
    ZIP01075
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 6, 2006

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

    Payer SourceTotal Paid
    Medicare$112.1K
    Medicaid$61.8K

    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.

    14 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…590$90$55.1K
    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…360$60$22.4K
    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…140$120$16.4K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…70$50$3.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$230$3.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$100$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.220$10$1.8K
    G0008Administration of influenza virus vaccine50$30$1.7K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…140$10$1.4K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.50$20$980

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921483115,410110$80$15.6K
    9934922429060$80$12K
    992158596,36040$120$8.9K
    992131,32913,70070$60$8.8K
    9949633152020$210$5.3K
    993489723050$50$4.9K
    364156682,130110$10$4.6K
    G00081,5343,49040$30$3.5K
    6921031743030$30$3.3K
    930004982,03030$10$1.6K

    Showing 1–10 of 14

    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.

    9 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…1,470$40$51.3K
    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…270$40$10.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$130
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…10$1$30
    3017FColorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…10$0$0
    G0008Administration of influenza virus vaccine10$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications80$0$0
    G8482Influenza immunization administered or previously received10$0$0
    G9903Patient screened for tobacco use and identified as a tobacco non-user10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    9 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…9915,040200$70$209.5K
    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…2,5205,300230$60$164.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…269280200$10$11.8K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…14717030$20$4.4K
    G0008Administration of influenza virus vaccine9701,03060$1$1.1K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications164220400$1$60
    G9903Patient screened for tobacco use and identified as a tobacco non-user4350170$1$50
    G8482Influenza immunization administered or previously received4550120$1$10
    3017FColorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…81040$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew LevinMAInternal Medicine Physician$103.4K$58.5K
    Glen BombardierMAInternal Medicine Physician$117.2K$6.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fire District No. 1MALand Ambulance$334.9K$587.4K
    Erik MeunierMAPodiatrist$297.9K$0
    Tammie BlackMAPodiatrist$285.1K$0
    Walter WolfMAPodiatrist$280.7K$0
    Lauren PericaMAPodiatrist$218.7K$0
    Andrew FayMAInternal Medicine Physician$171.6K$360
    Megan ChartierMAFamily Nurse Practitioner$136.2K$0
    Susan BatlanMAOphthalmology Physician$123.5K$0
    James FreemanMAInternal Medicine Physician$110.2K$0
    Robin DavisMASpeech-Language Pathologist$26.1K$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. Massachusetts Distribution
    William Mugg — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    William Mugg — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts