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    OpenPayerNPI Medicare & MedicaidOnyebuchi Ogbuagu
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    Onyebuchi Ogbuagu — Billing Profile & Reimbursement Data

    NPI 1730576588 · Rosedale, MD · General Practice Physician

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    Onyebuchi Ogbuagu is a general practice physician provider located in Rosedale, Maryland. This profile covers 17 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
    OrganizationOnyebuchi Ogbuagu
    Address9110 Philadelphia Rd Ste 106
    CityRosedale
    StateMD
    ZIP21237
    TaxonomyGeneral Practice Physician
    NPI EnumeratedApril 20, 2015

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

    Payer SourceTotal Paid
    Medicare$437.2K
    Medicaid$0

    Key Findings

    This provider’s billing profile is effectively single‑payer Medicare: total Medicare revenue is $437.2K while Medicaid revenue is none (no Medicaid billing on file). That concentration means analyses of utilization and network strategy should focus on Medicare claims and SNF/home‑visit practice patterns rather than mixed Medicaid activity.

    Revenue is highly concentrated in a few services: the top three Medicare codes (99308, 99309, 11043) account for 65.1% of the provider’s Medicare revenue. Specifically, 99308 generated $125.9K (28.8% of Medicare revenue), 99309 generated $92.2K (21.1%), and 11043 generated $66.6K (15.2%), indicating reliance on a narrow set of visit and procedural codes.

    The code mix points to a combined skilled‑nursing/home visit and wound‑care/debridement practice model: dominant E/M nursing facility codes (99308, 99309, 99305, 99304) coexist with multiple surgical debridement codes (11043, 11042, 11044, 11046 and 97597). This pattern suggests the provider spends meaningful time delivering SNF and home‑based E/M services while also performing wound debridement procedures in the same practice footprint.

    Competitive standing versus national peers is mixed by code. For 99308 the provider ranks #936 of 25763 (96th percentile) and is flagged as notably above typical national volume, signaling a high national volume for subsequent nursing facility visits; by contrast, 99309 ranks #3095 of 28092 (89th percentile) and 11043 ranks #272 of 2062 (87th percentile), both characterized as typical or unremarkable relative to their peer distributions.

    Payer and utilization implications are underscored by per‑claim payments: 99308 averages $63 paid/claim, 99309 averages $89 paid/claim, and the surgical debridement code 11043 averages $164 paid/claim. The higher average payment for 11043 is consistent with its surgical nature and explains why fewer claims can still contribute materially to revenue.

    Home‑visit codes are also present in the mix, indicating some care delivered outside facility settings: 99349 (90 claims, $105 avg paid/claim, $9.5K revenue) and 99348 (111 claims, $63 avg paid/claim, $7K revenue) together show a modest but visible home‑care component. This supports a profile of a provider bridging SNF, home care, and procedural wound services rather than a pure office‑based practice.

    The provider has an established Medicare presence: NPI enumerated 2015-04-20 (~11 years ago), which suggests a multi‑year history to build relationships with local SNFs and home‑health programs. Tenure combined with concentrated revenue in SNF/home visit codes may reflect an embedded role in post‑acute care pathways.

    For payers and network managers, the profile suggests targeted opportunities and monitoring: the provider’s notably above‑typical volume for 99308 and concentrated revenue in a few codes make them a logical candidate for focused utilization review, contracting discussions, or inclusion in post‑acute/wound‑care networks. At the same time, most other codes rank in ranges described as typical, indicating the provider is a strong but not broadly dominant national player outside its highest‑volume service lines.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2,000$60$125.9K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,040$90$92.2K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…410$160$66.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.560$70$37.9K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…250$110$28K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.230$60$13.6K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…60$240$13.3K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…340$30$11.1K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…90$110$9.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…140$70$9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930911760340$80$48.5K
    1104422030$260$37.8K
    993081690220$60$30.5K
    1104315070$160$25.4K
    993492135090$90$19.3K
    993102838080$110$19.2K
    993062439060$140$16K
    11046510180$50$15.5K
    11042221090$80$11.7K
    99305132060$100$11.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vohra Post Acute Care Physicians Of The East, PAFLFamily Medicine Physician$0$10.6M
    Kalpesh PurohitSCFamily Medicine Physician$2.1M$0
    Avinash KasturiMDGeneral Practice Physician$936.7K$0
    Salvador GuerreroMDFamily Medicine Physician$729.6K$0
    Jean-paul WuilleumierGAGeneral Practice Physician$725.8K$0
    John VanaalstKYPlastic and Reconstructive Surgery Physician$672K$0
    Amani HemphillWVFamily Medicine Physician$666.3K$0
    Edward ForeTNFamily Medicine Physician$637K$0
    Rizwan KalwarFLSurgery Physician$576.7K$0
    Tanisha OsbourneMDSpecialist$561.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Treatment Services LLCMDMethadone Clinic$1M$56.3M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$51.8M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$26.2M
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Amedisys Hospice, LLCMDCommunity Based Hospice Care Agency$0$15.6M
    Mosaic Community Services, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$0$13.9M
    Advance Adult Day Care L.L.C.MDAdult Day Care Clinic/Center$0$7.9M
    Franklin Square Hospital Center, IncMDGeneral Acute Care Hospital$0$7.2M
    Medstar Medical Group IiMDPsychiatry Physician$0$6.4M
    Edwin F. Aguilar, M.d., P.C.MDPediatrics Physician$0$5.6M

    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. Maryland Distribution
    Onyebuchi Ogbuagu — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland