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    OpenPayerNPI Medicare & MedicaidDouglas Holmes
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    Douglas Holmes — Billing Profile & Reimbursement Data

    NPI 1861460156 · Mobile, AL · Otolaryngology Physician

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    Douglas Holmes is a otolaryngology physician provider located in Mobile, Alabama. This profile covers 13 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
    OrganizationDouglas Holmes
    Address2505 Old Shell Rd
    CityMobile
    StateAL
    ZIP36607
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMarch 10, 2006

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

    Payer SourceTotal Paid
    Medicare$36.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…220$60$13.2K
    99203The 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…90$60$5.8K
    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…50$100$5.2K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…90$20$2.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.9K
    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…20$80$1.7K
    70220The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.70$30$1.7K
    92567In 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.130$10$1.4K
    99212The 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,…30$40$1.2K
    92653In this procedure, the provider measures the patient’s response to sound stimuli to diagnose a neurological disorder. The service includes an interpretation and report.20$50$770

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,6107,330120$80$16.8K
    992131,2456,47080$50$7.9K
    992041,1473,75030$100$4.8K
    992221,0341,59030$90$4.2K
    992032692,21030$70$3.1K
    925576718070$20$2.4K
    992126381,24030$30$2.1K
    6921015616050$30$2.1K
    9265361020$60$1.9K
    925674318060$10$1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Usa Health Physician Billing Services LLCALNeonatal-Perinatal Medicine Physician$0$28.2M
    University Of South AlabamaALChildren's Hospital$0$24.8M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Usa Health Physician Billing Services LLCALEmergency Medicine Physician$0$12.7M
    Usa Health Physician Billing Services LLCALPediatrics Physician$0$11M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Life Of AlabamaALPACE Provider Organization$0$11.5M
    Mobile Infirmary AssociationALGeneral Acute Care Hospital$0$4.6M
    Mobile Pediatric Clinic LLCALPediatrics Physician$0$3.5M
    Advantage Diabetic And MedicalALDurable Medical Equipment & Medical Supplies$0$2.9M
    Imc-hospitalists LLCALHospitalist Physician$0$2.6M
    Pediatric Physical Therapy, LLCALPediatric Physical Therapist$0$1.5M
    Emergency Services Of Mobile PCALEmergency Medicine Physician$0$1M
    Zachary ReardonALUrology Physician$505.7K$0
    Paul ScottALUrology Physician$334.8K$0
    Ankit GulatiALPhysical Medicine & Rehabilitation Physician$271.3K$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. Alabama Distribution
    Douglas Holmes — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama