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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGrigor Badalyan
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    Grigor Badalyan — Billing Profile & Reimbursement Data

    NPI 1699896571 · Monroe, NC · Pulmonary Disease Physician

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    Grigor Badalyan is a pulmonary disease physician provider located in Monroe, North Carolina. This profile covers 21 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
    OrganizationGrigor Badalyan
    Address1550 Faulk St
    CityMonroe
    StateNC
    ZIP28112
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedApril 2, 2007

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

    Payer SourceTotal Paid
    Medicare$140.6K
    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.

    21 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…360$90$32.2K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…140$170$23.9K
    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…120$140$15.5K
    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…210$60$13.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…130$90$11.8K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…170$40$6.5K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.170$40$6.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$130$6.3K
    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…50$120$6.1K
    99205The provider sees a new 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 provider…30$170$5.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,80018,060110$80$15.1K
    9581013214040$250$11.8K
    992331,1874,23070$90$10.1K
    992911862,63040$160$9.3K
    992325,4605,69070$60$8.1K
    992159205,72040$110$7.7K
    992132,77416,32070$50$7.1K
    992231,5284,58030$130$6.5K
    992058282,29020$140$4.9K
    992042,3338,43030$110$4.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wake Forest University Health SciencesNCMulti-Specialty Clinic/Center$0$188.2M
    Carolinas Medical CenterNCGeneral Acute Care Hospital$0$178.2M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    Carolinas Physicians Network IncNCPsychologist$0$29.4M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Carolinas Medical CenterNCPediatrics Physician$0$17.8M
    Carolinas Medical CenterNCAmbulance$0$17M
    Carolinas Medical CenterNCGeneral Practice Physician$0$16.6M
    Carolinas Medical CenterNCChild & Adolescent Psychiatry Physician$0$16.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$38.1M
    First Care Medical Clinic, PANCInternal Medicine Physician$0$15.5M
    Tema Home Care Services LLCNCIn Home Supportive Care Agency$0$12.5M
    Shoreline Partners LLCNCHome Health Agency$0$8.2M
    Carolinas Union Healthcare, IncNCLand Ambulance$1.5M$4.5M
    John AycockNCOptometrist$39K$938.6K
    Carolina Endoscopy Center MonroeNCAmbulatory Surgical Clinic/Center$475.1K$124.7K
    George PopperNCPsychologist$12.4K$581.5K
    Jens EichhornNCCardiovascular Disease Physician$506.8K$0
    Ivan MacNCOphthalmology Physician$342.8K$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. North Carolina Distribution
    Grigor Badalyan — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina