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NPI 1730163619 · Plattsburgh, NY · Pulmonary Disease Physician
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Melynne Mcarthur is a pulmonary disease physician provider located in Plattsburgh, New York. This profile covers 10 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Melynne Mcarthur |
| Address | 75 Beekman St |
| City | Plattsburgh |
| State | NY |
| ZIP | 12901 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | December 3, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $33.9K |
| Medicaid | $130 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 140 | $70 | $9.7K |
| 99213 | The 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… | 150 | $40 | $6.4K |
| 95806 | A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders. | 160 | $30 | $4.9K |
| 99204 | The 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 | $80 | $4K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 30 | $80 | $2.3K |
| 99215 | The 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… | 20 | $100 | $2.3K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 30 | $80 | $2.2K |
| 99203 | The provider sees a new 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 provider… | 20 | $60 | $970 |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 40 | $20 | $600 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $20 | $440 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 11,966 | 30,450 | 90 | $100 | $19K |
| 95811 | 74 | 140 | 30 | $300 | $12.4K |
| 99213 | 10,193 | 31,440 | 80 | $70 | $12.1K |
| 95810 | 82 | 180 | 30 | $260 | $10.5K |
| 99215 | 5,666 | 8,280 | 40 | $140 | $10.1K |
| 99204 | 4,479 | 14,170 | 30 | $130 | $6.6K |
| 99203 | 8,722 | 11,360 | 30 | $90 | $4.7K |
| 99212 | 5,223 | 7,850 | 30 | $40 | $3.6K |
| 95806 | 3 | 90 | 30 | $50 | $2K |
| 94618 | 90 | 200 | 30 | $30 | $1.4K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 10 | $10 | $130 |
| 3074F | No Summary found for this code | 10 | $0 | $0 |
| 3078F | No Summary found for this code | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 15,834 | 16,550 | 220 | $90 | $186.8K |
| 3074F | No Summary found for this code | 2,125 | 2,230 | 180 | $1 | $1.1K |
| 3078F | No Summary found for this code | 1,643 | 2,260 | 180 | $1 | $800 |
Other providers in the same ZIP code as Melynne Mcarthur, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | NY | General Acute Care Hospital | $0 | $35.9M |
| Champlain Valley Brace And Limb, L.L.C. | NY | Durable Medical Equipment & Medical Supplies | $0 | $21M |
| Roy Arogyasami | NY | Ophthalmology Physician | $4.7M | $1.1M |
| Surgical Pain Center Of The Adirondacks, LLC | NY | Ambulatory Surgical Clinic/Center | $930K | $225.6K |
| Plattsburgh Asc LLC | NY | Ambulatory Surgical Clinic/Center | $623.9K | $21.1K |
| Craig Hurwitz | NY | Nephrology Physician | $445K | $178.5K |
| Joseph Rini | NY | Ophthalmology Physician | $543K | $51.2K |
| Champlain Toxicology Lab, LLC | NY | Clinical Medical Laboratory | $228.2K | $269K |
| Afterhours Imaging, LLC | NY | Diagnostic Radiology Physician | $371.4K | $16.4K |
| Walgreen Co | NY | Pharmacy | $330.9K | $0 |
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