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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Phelan
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    Benjamin Phelan — Billing Profile & Reimbursement Data

    NPI 1750532917 · Stevens Point, WI · Physician Assistant

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    Benjamin Phelan is a physician assistant provider located in Stevens Point, Wisconsin. 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
    OrganizationBenjamin Phelan
    Address500 Vincent St
    CityStevens Point
    StateWI
    ZIP54481
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 7, 2008

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

    Payer SourceTotal Paid
    Medicare$10.2K
    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
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$40$2.9K
    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…60$50$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$60$1.7K
    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,…40$40$1.3K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg670$1$670
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$40$490
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.40$10$280
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$10$180
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$10$130
    73020Report this code for a single view X–ray of the shoulder.20$1$80

    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
    992134,7699,38060$50$4.7K
    2061024781040$40$3.1K
    992031,3782,82030$60$2.4K
    992126202,00030$30$1.3K
    9920231742020$40$1.1K
    7356436748040$20$1K
    7350253263050$10$1K
    7303034762050$10$820
    J330181600150$1$240
    7302082020$10$120

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo WisconsinWICritical Access Hospital$0$19.6M
    Divine Savior Healthcare, Inc.WIGeneral Acute Care Hospital$0$9.1M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo WisconsinWIRural Health Clinic/Center$0$1.3M
    Sunitha SukumaranNYHematology & Oncology Physician$365K$790
    Rania SalehILInfectious Disease Physician$130.7K$139K
    Andrew HuangWIRadiation Oncology Physician$261.1K$0
    Balaji ShanmugamFLInterventional Cardiology Physician$257.1K$0
    Ahmed El-sabbaghMOGeriatric Medicine (Internal Medicine) Physician$192.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Clinica De Los Campesinos, IncWIFederally Qualified Health Center (FQHC)$0$24.3M
    County Of PortageWIMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$15.6M
    Inclusa IncWIHealth Maintenance Organization$0$6.4M
    Brittany PrintzWIBehavior Analyst$0$5.2M
    Stevens Point Area Public School DistrictWILocal Education Agency (LEA)$0$3.1M
    Emily PaschenWIBehavior Analyst$0$2.9M
    Lincare IncWIDurable Medical Equipment & Medical Supplies$0$2.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$2M
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Practice Physician$0$2M

    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. Wisconsin Distribution
    Benjamin Phelan — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin