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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Raisen
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    Jay Raisen — Billing Profile & Reimbursement Data

    NPI 1740305473 · Fairfield, OH · Otolaryngology Physician

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    Jay Raisen is a otolaryngology physician provider located in Fairfield, Ohio. This profile covers 11 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
    OrganizationJay Raisen
    Address2960 Mack Rd Ste 200
    CityFairfield
    StateOH
    ZIP45014
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMarch 20, 2007

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

    Payer SourceTotal Paid
    Medicare$14.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$100$3.1K
    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…50$60$2.6K
    99203The 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…30$70$1.9K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.10$140$1.7K
    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$70$1.2K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.20$70$980
    99212The 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$40$840
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.30$20$820
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing20$30$420
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…20$20$380

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,28120,010100$70$11.7K
    992134,42120,00070$50$6.6K
    312319118040$110$6.5K
    992041,1948,33030$100$4.4K
    3157512327040$80$4.2K
    992031,0816,38030$60$2.9K
    9255718536090$20$2.5K
    692109745040$30$2.3K
    992128524,10030$30$1.7K
    G026835030$30$1.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Physicians Cincinnati Specialty Care LLCOHSurgery Physician$0$7.1M
    Tara AdhikariOHRheumatology Physician$1.6M$0
    Nelson WattsOHEndocrinology, Diabetes & Metabolism Physician$878.7K$0
    Anthony SandersINOtolaryngology Physician$444.8K$0
    Emily FisherOHDermatology Physician$437K$0
    Nicholas HollenkampINOtolaryngology Physician$292.3K$0
    Christopher StevensINOtolaryngology Physician$207.1K$0
    Mehran AttariOHClinical Cardiac Electrophysiology Physician$207K$0
    Reza MehzadOHClinical Cardiac Electrophysiology Physician$182.7K$0
    Bradley KingOHOrthopaedic Surgery Physician$176.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health - Fairfield Hospital LLCOHGeneral Acute Care Hospital$0$25.2M
    Preferred Home Health Care LLCOHHome Health Agency$0$10.9M
    City Of FairfieldOHLand Ambulance$378.1K$1.1M
    Jeffrey GrassOHRadiation Oncology Physician$1.2M$0
    Prasad KudalkarOHHematology & Oncology Physician$1M$0
    Peter FriedOHRadiation Oncology Physician$904.7K$0
    Rite Care Medical Transport LLCOHLand Ambulance$276.4K$625.6K
    Marwan AbdulaalOHOphthalmology Physician$890.7K$0
    Scott GreveyOHDermatology Physician$667.7K$0
    Imran ChowdhuryOHRadiation Oncology Physician$442.3K$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. Ohio Distribution
    Jay Raisen — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio