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    OpenPayerNPI Medicare & MedicaidBrian Clark
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    Brian Clark — Billing Profile & Reimbursement Data

    NPI 1740501311 · New Haven, CT · Pulmonary Disease Physician

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    Brian Clark is a pulmonary disease physician provider located in New Haven, Connecticut. This profile covers 10 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
    OrganizationBrian Clark
    Address300 Cedar St
    CityNew Haven
    StateCT
    ZIP06520
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 17, 2010

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

    Payer SourceTotal Paid
    Medicare$18K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$180$7.6K
    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…70$80$5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$70$1.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$100$1.5K
    94621The provider performs complex cardiopulmonary exercise testing (CPET) to evaluate the heart and lung function. The procedure includes measuring minute ventilation (the volume of gas exhaled). Minute…10$60$730
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.50$10$370
    94618The 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.20$20$340
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…40$10$330
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…20$10$230
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…30$10$200

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,8726,48090$90$14.2K
    992915331,13040$180$10.6K
    992331,5701,67060$100$10K
    992322,0382,53070$60$8.4K
    9462161030$80$3.1K
    947296816050$30$2K
    947274610040$30$1.7K
    940106613040$20$1.4K
    94375223040$20$1.2K
    94618608030$20$1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reid KraniskiCTNeuroradiology Physician$132.9K$0
    Jason JonesCTDiagnostic Radiology Physician$76.9K$0
    Jeptha CurtisCTCardiovascular Disease Physician$49.5K$0
    Harris FosterCTUrology Physician$40.1K$0
    Erin DebiasiCTPulmonary Disease Physician$35.6K$0
    Danielle Antin-ozerkisCTPulmonary Disease Physician$35K$0
    Sanja DacicCTSpecialist$28.5K$0
    Alicia BurrCTFamily Nurse Practitioner$23.9K$0
    David MadoffCTDiagnostic Radiology Physician$23.6K$0
    Christine ColtonCTDiagnostic Radiology Physician$21.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Brian Clark — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut