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    OpenPayerNPI Medicare & MedicaidJohn Mcgath
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    John Mcgath — Billing Profile & Reimbursement Data

    NPI 1699721977 · Duncan, OK · Otolaryngology Physician

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    John Mcgath is a otolaryngology physician provider located in Duncan, Oklahoma. This profile covers 12 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
    OrganizationJohn Mcgath
    Address1401 Duncan Regional Loop
    CityDuncan
    StateOK
    ZIP73533
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$86.8K
    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.

    12 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…550$60$34.5K
    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…100$90$9.5K
    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…80$120$8.9K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.240$30$7.7K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.640$10$6.4K
    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.40$140$5.8K
    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.20$250$3.8K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.40$100$3.7K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.330$10$2.3K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.60$40$2.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516528401,370$10$29.3K
    992143,1655,560130$70$18.4K
    992133065,45080$50$8.7K
    31237101030$250$8.4K
    31231296040$130$7.9K
    992046482,79040$100$5.8K
    1100021030$50$5.5K
    31575468040$80$4.2K
    992031,6181,90030$70$3.5K
    951151730350$10$2.4K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duncan Regional Hospital, Inc.OKRural Acute Care Hospital$0$17.8M
    Duncan Regional Hospital, Inc.OKRural Health Clinic/Center$0$4.7M
    Duncan Regional Hospital, IncOKRural Health Clinic/Center$0$4.2M
    Duncan Regional Hospital, IncOKRural Health Clinic/Center$0$3.6M
    Duncan Regional Hospital, Inc.OKRural Health Clinic/Center$0$3.4M
    Duncan Regional Hospital, Inc.OKRural Health Clinic/Center$0$2.3M
    Solutions Practice ManagementOKFamily Medicine Physician$0$2M
    Adam SavageOKPain Medicine (Anesthesiology) Physician$1.2M$0
    Douglas MillerOKSurgery Physician$543.8K$0
    Joshua GordonOKAnesthesiology Physician$514.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association South Central Oklahoma GovernmentsOKCase Management Agency$0$5.9M
    Urgent Med LLCOKUrgent Care Clinic/Center$0$3.9M
    Chisholm Trail Retirement CommunityOKAssisted Living Facility$0$3.5M
    Sooner Mobile X-ray, Inc.OKPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.1M$1.4M
    Duncan Family Eye Care IncOKOptometrist$0$1.9M
    Amy ShultzOKRheumatology Physician$1.7M$0
    Jim Taliaferro CmhcOKMental Health Clinic/Center (Including Community Mental Health Center)$0$1.6M
    Air Evac Ems IncOKAir Ambulance$1M$180K
    Francis McgouranOKFamily Medicine Physician$473K$0
    Lora MinsonOKFamily Nurse Practitioner$294.8K$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. Oklahoma Distribution
    John Mcgath — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma