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    OpenPayerNPI Medicare & MedicaidDouglas Prager
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    Douglas Prager — Billing Profile & Reimbursement Data

    NPI 1780666099 · Lake Winnebago, MO · Internal Medicine Physician

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    Douglas Prager is a internal medicine physician provider located in Lake Winnebago, Missouri. This profile covers 14 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
    OrganizationDouglas Prager
    Address374 Southshore Dr
    CityLake Winnebago
    StateMO
    ZIP64034
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$57.2K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…430$90$37.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…90$60$5.3K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…40$90$4K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…80$30$2.4K
    78831The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…30$70$2.2K
    78803The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…40$40$1.3K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…20$50$970
    78226The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;…30$30$700
    78195In this procedure, the provider uses a gamma–emitting radioactive tracer to diagnose and localize diseases of the lymphatics and lymph nodes.10$40$560
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…30$20$530

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815216050$150$15.4K
    78452728060$90$6.9K
    7881624030$90$3.3K
    930162124080$20$1.5K
    7830629020$30$1.3K
    7880322020$70$1.3K
    7883022020$50$1.3K
    7883121020$60$1.1K
    930182327070$10$980
    7826423020$40$930

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Honolulu Imaging Center, LLCHIDiagnostic Radiology Physician$2.6M$1.1M
    Kevin LampertCODiagnostic Radiology Physician$451.6K$0
    David CamachoHIDiagnostic Radiology Physician$414K$0
    Richard SibleyINDiagnostic Radiology Physician$406.2K$0
    Lori WilhelmHIDiagnostic Radiology Physician$334.9K$0
    Scott GrosskreutzHIDiagnostic Radiology Physician$333.8K$0
    Christopher EbersoleCODiagnostic Radiology Physician$330.2K$0
    Janice BrennemanCODiagnostic Radiology Physician$312.9K$0
    Lora BarkeCODiagnostic Radiology Physician$290.4K$0
    Ming PengHIDiagnostic Radiology Physician$283.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Douglas Prager — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri