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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Kay
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    Peter Kay — Billing Profile & Reimbursement Data

    NPI 1710906177 · Springfield, OR · Gastroenterology Physician

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    Peter Kay is a gastroenterology physician provider located in Springfield, Oregon. This profile covers 14 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
    OrganizationPeter Kay
    Address3355 Riverbend Dr
    CitySpringfield
    StateOR
    ZIP97477
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$66.7K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…130$200$24.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…380$20$7.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$90$7.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$170$7.2K
    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…80$60$4.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.60$60$3.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$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…20$120$2.6K
    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…20$90$2.1K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…10$90$1.2K

    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
    453853123050$310$25.2K
    8830593270200$30$21.4K
    453803722030$200$12K
    G01052412020$300$10.6K
    992145,1386,07080$70$10.3K
    G0121417020$300$9K
    432395424030$120$6.1K
    992132,1835,48060$50$5.7K
    43248264020$190$5.4K
    992041,7112,75030$110$4.4K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eugene Gastroenterology Consultants PCORGastroenterology Physician$0$1.8M
    April FullerORNurse Practitioner$194.1K$0
    Jonathan GonenneORGastroenterology Physician$70.2K$0
    Davis SimORGastroenterology Physician$46.6K$0
    Nathan HolmanORGastroenterology Physician$40K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mckenzie-willamette Regional Medical Center Associates LLCORGeneral Acute Care Hospital$0$44.6M
    PeacehealthORGeneral Acute Care Hospital$0$30.7M
    Lane County OregonORFederally Qualified Health Center (FQHC)$0$20.6M
    Springfield Treatment CenterORMethadone Clinic$0$20.5M
    Mental Health For Children, IncORMental Health Counselor$0$12.7M
    G Street Integrated HealthORClinic/Center$0$9.3M
    Radiology Associates PCORDiagnostic Radiology Physician$0$7.8M
    Oregon Endoscopy Center, LLCORAmbulatory Surgical Clinic/Center$919.2K$5.6M
    Pathology Consultants, PCORAnatomic Pathology & Clinical Pathology Physician$0$5.5M
    PeacehealthORHospitalist Physician$0$5.5M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Peter Kay — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon