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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoy Dunfee
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    Roy Dunfee — Billing Profile & Reimbursement Data

    NPI 1821748765 · Lancaster, OH · Gerontology Nurse Practitioner

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    Roy Dunfee is a gerontology nurse practitioner provider located in Lancaster, Ohio. 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
    OrganizationRoy Dunfee
    Address7376 Tent Church Rd Ne
    CityLancaster
    StateOH
    ZIP43130
    TaxonomyGerontology Nurse Practitioner
    NPI EnumeratedMarch 24, 2022

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

    Payer SourceTotal Paid
    Medicare$19K
    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
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.70$80$5.1K
    36558The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…30$160$4K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…50$70$3.3K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.30$90$2.5K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.20$50$1.1K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…20$40$780
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…20$50$750
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…50$10$600
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.50$10$440
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…40$10$300

    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
    365582511020$230$4.8K
    490833415030$70$2.9K
    36589105020$120$2.9K
    32555616020$80$2.2K
    382226211020$60$1.4K
    770129117020$50$1.3K
    365564823020$60$1.1K
    9915239976040$10$620
    770013421030$10$430
    769375037020$10$370

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fairfield Medical CenterOHGeneral Acute Care Hospital$0$38.7M
    Spinal Technology And Pain Center IncOHAddiction Medicine (Family Medicine) Physician$0$23.7M
    New Horizons Mental Health Services, Inc.OHMental Health Counselor$0$12.4M
    Fairhope Hospice & Palliative Care IncOHCommunity Based Hospice Care Agency$0$11.8M
    Grannies Cooked Delivered Meals LLCOHHome Delivered Meals$0$11.6M
    Mid-ohio Psychological Services IncOHCounselor$0$9.4M
    Interim Healthcare Of Columbus, IncOHHome Health Agency$0$9M
    Jonathan W. Draney, Dds, LLCOHDentist$0$8.7M
    Lancaster Dental Partners LLPOHGeneral Practice Dentistry$0$8.3M
    Fairfield Community Health CenterOHFederally Qualified Health Center (FQHC)$0$7.1M

    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. Ohio Distribution
    Roy Dunfee — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio