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NPI 1811257850 · East Greenwich, RI · Pulmonary Disease Physician
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James Ferguson is a pulmonary disease physician provider located in East Greenwich, Rhode Island. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Ferguson |
| Address | 1407 S County Trl Ste 430a |
| City | East Greenwich |
| State | RI |
| ZIP | 02818 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | May 24, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $86.7K |
| Medicaid | $210 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 260 | $90 | $23.2K |
| 99291 | Critical 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… | 90 | $170 | $14.6K |
| 99233 | The 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… | 130 | $90 | $11.8K |
| 99223 | The 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… | 50 | $140 | $6.8K |
| 99213 | The 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 | $70 | $6.3K |
| 99215 | The 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… | 50 | $130 | $6.2K |
| 99204 | The 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… | 40 | $110 | $4K |
| 94729 | In 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. | 270 | $10 | $3.8K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 80 | $30 | $2.4K |
| 94727 | The 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… | 190 | $10 | $1.7K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 327 | 1,950 | 100 | $80 | $11.7K |
| 99291 | 58 | 300 | 40 | $170 | $10.3K |
| 99233 | 99 | 470 | 60 | $90 | $9.1K |
| 99232 | 556 | 650 | 70 | $60 | $7.7K |
| 99213 | 783 | 1,950 | 70 | $60 | $7.4K |
| 99223 | 176 | 540 | 30 | $130 | $6.4K |
| 99215 | 158 | 460 | 30 | $110 | $5.7K |
| 99204 | 277 | 740 | 30 | $110 | $4.6K |
| 94729 | 4 | 40 | 60 | $20 | $2.6K |
| 94726 | 9 | 30 | 50 | $30 | $2.4K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 94729 | In 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. | 30 | $10 | $210 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 94729 | In 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. | 17 | 30 | 60 | $30 | $11.5K |
Other providers in the same ZIP code as James Ferguson, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Joanne Lewis | RI | Pediatric Dentistry | $0 | $2.1M |
| Healthy Babies, Happy Moms Inc. | RI | Customized Equipment (DME) | $0 | $1.5M |
| Daniel Collins | RI | Family Medicine Physician | $24.4K | $902.1K |
| Sargent Rehabilitation Center, Inc. | RI | Comprehensive Outpatient Rehabilitation Facility (CORF) | $0 | $819.5K |
| Egp Inc | RI | Pediatrics Physician | $0 | $708.2K |
| Bayside Endoscopy Center LLC | RI | Ambulatory Surgical Clinic/Center | $650.4K | $0 |
| Robert Gianfrocco | RI | Emergency Medicine Physician | $14.7K | $633.9K |
| Joseph Wyllie | RI | Cardiovascular Disease Physician | $110.6K | $537.2K |
| Nathaniel Jellinek | RI | MOHS-Micrographic Surgery Physician | $638.1K | $0 |
| Natasha Bica | RI | Family Medicine Physician | $0 | $606.3K |
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