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    OpenPayerNPI Medicare & MedicaidAdam Levy
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    Adam Levy — Billing Profile & Reimbursement Data

    NPI 1851504989 · Macon, GA · Gastroenterology Physician

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    Adam Levy is a gastroenterology physician provider located in Macon, Georgia. This profile covers 22 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
    OrganizationAdam Levy
    Address610 3rd St
    CityMacon
    StateGA
    ZIP31201
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 7, 2007

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

    Payer SourceTotal Paid
    Medicare$155.2K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.50$580$31.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…110$190$22.1K
    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…260$70$16.9K
    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…120$110$13.8K
    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…120$90$10.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.110$90$9.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…310$30$8.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$100$5.2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…30$140$3.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$170$3.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305250340650$40$73.6K
    8831214324070$70$34K
    4538510847060$290$26.6K
    992146,86313,640120$80$17.8K
    4538019747040$200$14.8K
    4323913449070$120$11.9K
    G010517730030$270$11.8K
    992323,1225,01080$60$10.9K
    8831311421070$40$10.2K
    992132,43413,36080$60$9.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Weijian ZhuGAAnatomic Pathology & Clinical Pathology Physician$2.6M$4.7K
    Digestive Healthcare Of Georgia Endoscopy Center MountainsideGAAmbulatory Surgical Clinic/Center$788.2K$0
    Digestive Healthcare Of Georgia Endoscopy Center MountainsideGAAmbulatory Surgical Clinic/Center$618.5K$0
    Raymond BedgoodGAGastroenterology Physician$399.9K$0
    Shahriar SedghiGAGastroenterology Physician$358K$0
    Jody VelieGAFamily Medicine Physician$320.4K$0
    David GryboskiGAGastroenterology Physician$313.2K$0
    Layth SaymehGAGastroenterology Physician$263.2K$0
    John BurneyGAGastroenterology Physician$221.8K$0
    Michael GalambosGAGastroenterology Physician$211K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Services Of Central Georgia, IncGAMulti-Specialty Clinic/Center$0$18.5M
    Central Georgia Emergency Group, LLCGAEmergency Medicine Physician$0$8.8M
    Middle Georgia PediatricsGAPediatric Adolescent Medicine Physician$0$4.2M
    Linda HendricksGASpecialist$3.1M$0
    Mgas Holdings, LLCGAAmbulance$2.5M$36.9K
    Marcus WeldonGAHematology & Oncology Physician$2.5M$0
    Cogent Healthcare Of Macon, LLCGAInternal Medicine Physician$0$1.8M
    Central Georgia Pediatrics, Inc.GAPediatric Adolescent Medicine Physician$0$1.6M
    Alan JusticeGAInternal Medicine Physician$1.4M$0
    Central Georgia Pet LLCGARadiation Oncology Physician$1.4M$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Adam Levy — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia