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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGeorge Waterfallen
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    George Waterfallen — Billing Profile & Reimbursement Data

    NPI 1831123132 · Bastrop, LA · General Practice Physician

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    George Waterfallen is a general practice physician provider located in Bastrop, Louisiana. This profile covers 89 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
    OrganizationGeorge Waterfallen
    Address323 West Walnut
    CityBastrop
    StateLA
    ZIP71220
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$259.3K
    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.

    89 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…330$90$28K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…240$110$26.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…470$40$19.4K
    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…300$60$18.7K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…480$30$15.2K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…240$30$7.6K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.240$30$7.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$120$6.2K
    82670The lab analyst measures the level of total estradiol, an estrogenic hormone, on a specimen such as blood using a method such as liquid chromatography–tandem mass spectrometry (LC–MS/MS) to evaluate…210$30$5.7K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…190$30$5.3K

    Showing 1–10 of 89

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 89 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    89 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8779822201,390$30$352.3K
    G04801430180$110$28.6K
    992141,2566,670110$80$16.5K
    9949068390190$40$13.5K
    8763161030$140$12.6K
    G04395811,06060$120$11.7K
    994572490100$30$8.8K
    992138176,06070$50$8.1K
    9943927270100$30$6.7K
    99454229080$30$6.5K

    Showing 1–10 of 89

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana Family Medicine Clinic 1LAClinic/Center$0$35.7M
    Winn Community Health Center, Inc.LAFederally Qualified Health Center (FQHC)$0$28.6M
    Natchitoches Parish Hospital Service DistrictLAGeneral Acute Care Hospital$0$21.4M
    East Carroll Parish HospitalLARural Health Clinic/Center$0$9.4M
    Winn Community Health Center, Inc.LAFederally Qualified Health Center (FQHC)$0$7.3M
    East Carroll Parish HospitalLAGeneral Acute Care Hospital$0$5.8M
    Natchitoches Parish Hospital Service DistrictLARural Health Clinic/Center$0$5.1M
    Winn Community Health Center, Inc.LAFederally Qualified Health Center (FQHC)$0$4.8M
    David DiesLATransplant Hepatology Physician$633.7K$0
    Oscar RodriguezLASpecialist$145.9K$182.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Body & Soul Services IncLAIn Home Supportive Care Agency$0$11.8M
    Broken Wings Recovery Center, LLCLASubstance Abuse Rehabilitation Facility$0$11.2M
    Body & Soul Services IncLAIn Home Supportive Care Agency$0$10.8M
    Morehouse General HospitalLAGeneral Acute Care Hospital$0$10M
    Quality Long Term Care LLCLAPersonal Care Attendant$0$8.7M
    Quality Home Health Long Term Care IncLAHome Health Agency$0$7.8M
    Good Shepherd Personal Care LLCLAIn Home Supportive Care Agency$0$6.6M
    Morehouse Community Medical Centers, Inc.LAFederally Qualified Health Center (FQHC)$0$5.8M
    Lakisher MorganLAFamily Nurse Practitioner$2M$0
    Mahmoud Sheikh-khalilLACardiovascular Disease Physician$303.2K$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. Louisiana Distribution
    George Waterfallen — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana