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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRay Mclaughlin
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    Ray Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1720215049 · Tuscaloosa, AL · Rheumatology Physician

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    Ray Mclaughlin is a rheumatology physician provider located in Tuscaloosa, Alabama. This profile covers 35 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
    OrganizationRay Mclaughlin
    Address100 Towncenter Blvd
    CityTuscaloosa
    StateAL
    ZIP35406
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 12, 2009

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

    Payer SourceTotal Paid
    Medicare$875.9K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)164,000$1$656K
    J0897Injection, denosumab, 1 mg5,700$20$102.6K
    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…750$80$61K
    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…120$110$13.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…720$10$7.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…120$50$5.7K
    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…40$130$5.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.550$10$5.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.600$10$4.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…560$10$4.5K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J071711094,400$1$360.6K
    J0897612003,120$20$97.7K
    83970364060$40$49.3K
    992143637,330120$80$16.8K
    8230621634060$30$16K
    86160810160$10$13.3K
    80053113670140$10$13.1K
    8444345756090$20$12.2K
    80061486590120$10$12.1K
    992158911,71040$110$8.1K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Medical Group IncTNInternal Medicine Physician$0$35.6M
    William SullivanALRheumatology Physician$1.6M$0
    Usa Health Physician Billing Services LLCALPediatric Cardiology Physician$0$1.6M
    Alan FranklinALRetina Specialist (Ophthalmology) Physician$1.2M$0
    Imc-diagnostic And Medical Clinic LLCALInternal Medicine Physician$0$1.1M
    Clifford TillmanLAGastroenterology Physician$439.4K$268.7K
    Robert PercyALPulmonary Disease Physician$384.3K$0
    Mina JacobALVascular Surgery Physician$325.9K$0
    K VardenALInternal Medicine Physician$311.5K$0
    Hercules PanayiotouALCardiovascular Disease Physician$270.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children And Teen Dental Group Of AlabamaALPediatric Dentistry$0$6.4M
    Capstone Kids LLCALPediatric Dentistry$0$3.5M
    Children And Teen Dental Group Of AlabamaALPediatric Dentistry$0$2.8M
    Southern Surgical Associates LLCALSurgery Physician$0$2M
    Tuscaloosa PediatricsALPediatrics Physician$0$1.5M
    First KidsALFamily Medicine Physician$0$1.4M
    Tuscaloosa Ear Nose & Throat Center PCALOtolaryngology Physician$0$1.2M
    Bruce A Petitt M.d. P.C.ALPediatrics Physician$0$938.2K
    Tuscaloosa Nephrology Associates PCALNephrology Physician$0$936.6K
    George HemstreetALInterventional Cardiology Physician$935.1K$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. Alabama Distribution
    Ray Mclaughlin — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama