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    OpenPayerNPI Medicare & MedicaidMelvin Fussell
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    Melvin Fussell — Billing Profile & Reimbursement Data

    NPI 1699713594 · Warner Robins, GA · Urology Physician

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    Melvin Fussell is a urology physician provider located in Warner Robins, Georgia. This profile covers 18 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
    OrganizationMelvin Fussell
    Address1770 Watson Blvd
    CityWarner Robins
    StateGA
    ZIP31093
    TaxonomyUrology Physician
    NPI EnumeratedJune 3, 2006

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

    Payer SourceTotal Paid
    Medicare$111.5K
    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.

    18 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…900$60$51.2K
    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…130$90$10.9K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$520$8.9K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…40$250$8.6K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.20$320$6.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…80$60$4.7K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.30$140$4.6K
    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…40$110$4.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.340$10$2K
    64585The provider revises or removes a neurostimulator electrode array on a peripheral nerve, the portion of the nervous system lying outside the brain and spinal cord. This service is generally done for…10$180$1.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64561274030$2,300$92.1K
    992146,51913,640120$80$17.8K
    5200012327070$140$13.8K
    52601154020$660$11.2K
    9921324313,36080$60$9.2K
    5570015817020$280$9.1K
    51728389030$200$7.6K
    992043,1117,26030$110$5.1K
    517973911030$110$3.5K
    992032,7595,35030$70$3.3K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    William KnopfGACardiovascular Disease Physician$1.1M$0
    Edwin HerdHIPediatrics Physician$0$640.5K
    Cheau WilliamsGAUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$392.3K$0
    Michael MonahanGAUrology Physician$386.4K$0
    Michael MullinsGAPulmonary Disease Physician$363.9K$0
    Kuldeep TalwarTXClinical Cardiac Electrophysiology Physician$342.6K$0
    David ZaboliFLOtolaryngology Physician$285.8K$52.5K
    Ansermo ArthurSCInterventional Cardiology Physician$337.4K$0
    William MclaughlinALGastroenterology Physician$327.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Houston County Emergency Group, LLCGAEmergency Medicine Physician$0$5.3M
    Houston Healthcare Ems IncGALand Ambulance$1.8M$0
    Mohammad Al ShroofGAInternal Medicine Physician$1M$0
    Rahil KaziGACardiovascular Disease Physician$813.6K$0
    Central Georgia Heart Institue, LLCGACardiovascular Disease Physician$0$544K
    Houston Asc, LLCGAAmbulatory Surgical Clinic/Center$378.4K$0
    Physicians For Women, PCGAObstetrics & Gynecology Physician$0$376.4K
    William WileyGAOrthopaedic Surgery Physician$361.6K$0
    Anilkumar PillaiGAInternal Medicine Physician$334.5K$0
    Mueez AhmedGACardiovascular Disease Physician$323.2K$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. Georgia Distribution
    Melvin Fussell — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia