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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Mcfadden
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    Timothy Mcfadden — Billing Profile & Reimbursement Data

    NPI 1861432346 · Elkhart, IN · Psychiatry Physician

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    Timothy Mcfadden is a psychiatry physician provider located in Elkhart, Indiana. This profile covers 3 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
    OrganizationTimothy Mcfadden
    Address2600 Oakland Ave
    CityElkhart
    StateIN
    ZIP46517
    TaxonomyPsychiatry Physician
    NPI EnumeratedJune 6, 2006

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

    Payer SourceTotal Paid
    Medicare$30.1K
    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.

    3 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…460$60$27.5K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.240$10$1.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,20610,540110$80$15.5K
    992323,4263,97090$60$11.8K
    99211544030$10$690

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oaklawn Psychiatric Center, Inc.INPsychiatric Hospital$0$53.9M
    Oaklawn Psychiatric Center, Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$46M
    Oaklawn Psychiatric Center, Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$23.4M
    Daniel KinseyINChild & Adolescent Psychiatry Physician$1.3K$0
    Lisa LevinINClinical Social Worker$1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hewitt Dental Group Of Elkhart, Ltd.INGeneral Practice Dentistry$0$3.7M
    East 53rd Street Dental-3, PCINGeneral Practice Dentistry$0$3.3M
    Harley YoderINFamily Medicine Physician$81.6K$0
    Timothy QuistINPrimary Podiatric Medicine Podiatrist$25.8K$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. Indiana Distribution
    Timothy Mcfadden — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana