Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Hoofnagle
    Ask Trek AI about this page

    Robert Hoofnagle — Billing Profile & Reimbursement Data

    NPI 1861404022 · Bel Air, MD · Urology Physician

    Customize your policy alerts

    Sign up for Robert Hoofnagle — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Robert Hoofnagle is a urology physician provider located in Bel Air, Maryland. This profile covers 25 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.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Hoofnagle
    Address2 North Ave Ste 102
    CityBel Air
    StateMD
    ZIP21014
    TaxonomyUrology Physician
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…18,930$30$643.6K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.4,370$70$301.2K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.7,280$30$247.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg410$140$55.1K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…1,460$30$49.5K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1,460$30$49.5K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.1,460$30$49.5K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…1,460$30$49.5K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.1,460$30$49.5K
    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…180$100$18.2K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877983601,430$30$170.3K
    87481360160$30$48.7K
    87801120140$70$34.7K
    50590113030$800$32.2K
    52648174020$1,160$31.4K
    J921710100150$130$27.3K
    52000123200120$140$25.8K
    992144,54110,270150$90$24.1K
    557008614030$370$18.9K
    87653350120$30$16K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mnr Industries, LLCMDUrgent Care Clinic/Center$0$107.7M
    Harford County Public SchoolsMDLocal Education Agency (LEA)$0$41.4M
    Upper Chesapeake Emergency Medicine Physicians, LLCMDEmergency Medicine Physician$0$22.9M
    Prn IncMDHome Health Agency$0$14.8M
    Maryland Iop PartnersMDSubstance Use Disorder Rehabilitation Clinic/Center$0$10.5M
    Veni Vidi Vici Treatment Services, LLC.MDMethadone Clinic$126.6K$5.1M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$4.8M
    Micah GirottiMDVascular Surgery Physician$1.2M$0
    Mark MishraMDRadiation Oncology Physician$1.1M$0
    Michael OsgoodMDVascular Surgery Physician$972.4K$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. Maryland Distribution
    Robert Hoofnagle — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland