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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoger Williams
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    Roger Williams — Billing Profile & Reimbursement Data

    NPI 1740230366 · Cave City, KY · Family Medicine Physician

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    Roger Williams is a family medicine physician provider located in Cave City, Kentucky. This profile covers 42 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
    OrganizationRoger Williams
    Address400 N Dixie Hwy
    CityCave City
    StateKY
    ZIP42127
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicare$93.5K
    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.

    42 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…430$80$35.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…190$50$8.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$120$7.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…130$30$4.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.240$20$3.8K
    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…40$100$3.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…220$20$3.4K
    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.300$10$3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.220$10$2.8K
    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…320$10$2.5K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148067,230110$70$14.1K
    99490127290170$30$11.9K
    G04397841,57060$110$9.3K
    823069712070$30$8.5K
    992135,1247,25080$50$7.7K
    8444363200100$20$6.8K
    8006184240120$10$5.8K
    8005371270110$10$5.5K
    992041,4173,20030$100$4.8K
    87186305040$10$3.9K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southeastern Emergency Physicians LLCKYEmergency Medicine Physician$0$208.5M
    Bowling Green-warren County Community Hospital CorporationKYGeneral Acute Care Hospital$0$112.1M
    Graves Gilbert Clinic PLLCKYSpecialist$0$78M
    Southeastern Emergency Physicians Of Memphis LLCILEmergency Medicine Physician$0$26.5M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$14.4M
    Logan Memorial Hospital LLCKYRural Acute Care Hospital$0$14.3M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$13.5M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$13.2M
    Bowling Green-warren County Community Hospital CorporationKYCritical Access Hospital$0$8.8M
    Clark Emergency PhysiciansKYEmergency Medicine Physician$0$6.7M

    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. Kentucky Distribution
    Roger Williams — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky