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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Bigelow
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    Douglas Bigelow — Billing Profile & Reimbursement Data

    NPI 1801821608 · Philadelphia, PA · Otolaryngology Physician

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    Douglas Bigelow is a otolaryngology physician provider located in Philadelphia, Pennsylvania. 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
    OrganizationDouglas Bigelow
    Address3400 Civic Center Blvd
    CityPhiladelphia
    StatePA
    ZIP19104
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicare$87.5K
    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
    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…270$80$20.8K
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…20$1,030$18.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…120$110$13K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…80$130$10.7K
    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…80$100$8.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.150$20$3.6K
    69222The provider cleans out the cavity left by a mastoidectomy; the procedure requires anesthesia or more extensive debridement than normal. Patients sometimes require one or more debridement procedures…30$120$3.3K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing120$30$3.3K
    21235The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.10$240$2.9K
    69220The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.60$40$2.4K

    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
    992144,77823,230100$80$14.5K
    6993011010$980$13.7K
    992151,1807,17040$120$8.6K
    9921318,80222,37070$60$7.7K
    6922231040$190$7.2K
    992041,32210,29030$110$5K
    992051633,09020$150$4.9K
    2123511010$260$3.1K
    6921014369030$30$2.8K
    G02682916040$40$2.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James PalmerPAOtolaryngology Physician$213.1K$0
    Nithin AdappaPAOtolaryngology Physician$203K$0
    Kevin LeahyPAOtolaryngology Physician$153.5K$0
    Karthik RajasekaranPAOtolaryngology Physician$150.8K$0
    Jonathan LeePAOtolaryngology Physician$110.1K$0
    Gregory WeinsteinPAOtolaryngology Physician$108.4K$0
    Robert AdelsonPAOtolaryngology Physician$86.6K$0
    Steven CannadyPAOtolaryngology Physician$76.4K$0
    Soo AbboudPAOtolaryngology Physician$63.6K$12.2K
    Ara ChalianPAOtolaryngology Physician$65K$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. Pennsylvania Distribution
    Douglas Bigelow — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania