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    OpenPayerNPI Medicare & MedicaidWilliam Cefalu
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    William Cefalu — Billing Profile & Reimbursement Data

    NPI 1780908780 · Morgan City, LA · Internal Medicine Physician

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    William Cefalu is a internal medicine physician provider located in Morgan City, Louisiana. This profile covers 30 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
    OrganizationWilliam Cefalu
    Address912 Marguerite St
    CityMorgan City
    StateLA
    ZIP70380
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 19, 2010

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

    Payer SourceTotal Paid
    Medicare$213.1K
    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.

    30 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…1,170$90$99.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit240$120$28.6K
    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…210$60$12.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$130$11.2K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$210$7.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…90$90$7.2K
    99443N/A70$80$5.7K
    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…50$110$5.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…100$50$5K
    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…90$50$4.3K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309395400220$70$35K
    99308258410160$50$18.6K
    992141076,670110$80$16.5K
    992326672,58090$60$13.3K
    G04391111,06060$120$11.7K
    992151,1751,65040$110$8.4K
    992132,6616,06070$50$8.1K
    992234482,33040$130$7.7K
    9067736646020$270$6.8K
    9923930498060$90$6.4K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lsu Health Sciences Center Shreveport Faculty Group PracticeLAFamily Medicine Physician$0$235.7M
    Ochsner Clinic FoundationLAGeneral Acute Care Hospital$0$166.7M
    Ochsner Clinic LLCLAGeneral Practice Physician$0$152.6M
    University Health Shreveport LLCLAGeneral Acute Care Hospital$0$98.1M
    Ochsner Clinic LLCLAInternal Medicine Physician$0$32.2M
    Brfhh Shreveport LLCLAGeneral Acute Care Hospital$0$6.3M
    Acme Medical Supplies, Inc.MDOxygen Equipment & Supplies (DME)$0$5.3M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Siddhartha RaoNCInterventional Cardiology Physician$944.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ochsner Morgan City LLCLAGeneral Acute Care Hospital$0$10.3M
    Pediatric Clinic Of St Mary Parish ApmcLAPediatrics Physician$0$8.8M
    Bayou Health Elderly & Disabled Care, Inc.LAPersonal Care Attendant$0$7.7M
    St Mary Emergency Group LLCLAEmergency Medicine Physician$0$6.5M
    St. Mary Parish Government/fairview Treatment CenteLASubstance Abuse Rehabilitation Facility$0$6M
    Bayou Health Elderly & Disabled Care, Inc.LAPersonal Care Attendant$0$5.6M
    Odyssey House Louisiana IncLASubstance Abuse Rehabilitation Facility$0$4.9M
    Natchez MoriceLAObstetrics & Gynecology Physician$1.9K$4.6M
    Darrell SoletLACardiovascular Disease Physician$312.3K$0
    Jared ThurstonLAOphthalmology Physician$216.7K$5.5K

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