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NPI 1831380963 · Erie, PA · Otolaryngology/Facial Plastic Surgery Physician
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Ruthann Lipman is a otolaryngology/facial plastic surgery physician provider located in Erie, Pennsylvania. This profile covers 17 Medicare and 12 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 | Ruthann Lipman |
| Address | 1645 W 8th St |
| City | Erie |
| State | PA |
| ZIP | 16505 |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| NPI Enumerated | August 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $97.9K |
| Medicare | $74K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 290 | $60 | $18.5K |
| 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… | 140 | $90 | $12.3K |
| 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… | 70 | $120 | $8.4K |
| 99203 | The provider sees a new 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 provider… | 110 | $70 | $7.9K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 80 | $90 | $7.1K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 670 | $10 | $5.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 90 | $40 | $3.4K |
| 92540 | The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service. | 30 | $80 | $2.2K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 200 | $10 | $2K |
| 92653 | In this procedure, the provider measures the patient’s response to sound stimuli to diagnose a neurological disorder. The service includes an interpretation and report. | 30 | $60 | $1.6K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95165 | 138 | 150 | 790 | $10 | $15.9K |
| 31231 | 305 | 320 | 60 | $130 | $15K |
| 99214 | 9,325 | 23,230 | 100 | $80 | $14.5K |
| 99213 | 2,431 | 22,370 | 70 | $60 | $7.7K |
| 31575 | 137 | 380 | 60 | $90 | $6.6K |
| 99204 | 1,653 | 10,290 | 30 | $110 | $5K |
| 95117 | 41 | 170 | 300 | $10 | $4.3K |
| 99203 | 691 | 7,330 | 30 | $70 | $3.5K |
| 92557 | 454 | 490 | 90 | $30 | $3.4K |
| 92540 | 17 | 40 | 20 | $80 | $2.4K |
Showing 1–10 of 17
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 480 | $50 | $22.7K |
| 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… | 790 | $30 | $21.3K |
| 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… | 240 | $80 | $20.1K |
| 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… | 280 | $40 | $11.7K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 1,620 | $10 | $9.7K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 40 | $90 | $3.7K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 10 | $220 | $2.8K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 230 | $10 | $2.6K |
| 95115 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit. | 320 | $1 | $1.3K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 20 | $50 | $770 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 20 | 30 | 60 | $1,390 | $305.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 48 | 50 | 70 | $620 | $190.6K |
| 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… | 3,665 | 8,160 | 210 | $60 | $68.4K |
| 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… | 2,450 | 8,870 | 240 | $40 | $56.1K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 46 | 60 | 140 | $120 | $54.5K |
| 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… | 336 | 1,410 | 60 | $90 | $30.5K |
| 99203 | The provider sees a new 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 provider… | 282 | 1,620 | 80 | $60 | $28.4K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 55 | 70 | 60 | $70 | $22.2K |
| 95117 | The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit. | 39 | 110 | 940 | $10 | $17K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 58 | 160 | 110 | $20 | $14.3K |
Showing 1–10 of 12
Other providers in the same ZIP code as Ruthann Lipman, ranked by combined Medicare and Medicaid revenue.
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