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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Ploger
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    Matthew Ploger — Billing Profile & Reimbursement Data

    NPI 1861757528 · Tempe, AZ · Anesthesiology Physician

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    Matthew Ploger is a anesthesiology physician provider located in Tempe, Arizona. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Ploger
    Address2421 E Southern Ave Ste 7
    CityTempe
    StateAZ
    ZIP85282
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJuly 9, 2012

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

    Payer SourceTotal Paid
    Medicare$19.6K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01938The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.100$80$8K
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…30$100$3.3K
    01630The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure to the humeral head and neck, sternoclavicular, acromioclavicular, and shoulder joints.10$220$2.4K
    01937The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the cervical or thoracic spine or spinal cord.20$80$1.9K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…20$120$1.8K
    01160The provider performs anesthesia services for a patient undergoing closed procedures involving the symphysis pubis or sacroiliac joint.10$80$1K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…10$50$700
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…20$20$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01992528050$90$9.3K
    0193896050$80$5.5K
    0081220926030$90$3.6K
    0116081020$80$3.3K
    01630324020$180$2.9K
    01937123020$80$2.4K
    7694229242030$40$1.8K
    644159214020$50$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner - University Hospital Based Physicians LLCAZGeneral Acute Care Hospital$0$29.7M
    Hani RashidAZRheumatology Physician$1.9M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Tamara LundeenAZDiagnostic Radiology Physician$802.6K$0
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Kyung ChenAZInterventional Pain Medicine Physician$540.3K$0
    Kalpesh PatelAZDiagnostic Radiology Physician$409.1K$0
    Kevin HirschAZDiagnostic Radiology Physician$343.3K$0
    Fadi AlrabadiAZInternal Medicine Physician$336.9K$0
    Ajay SinghPADiagnostic Radiology Physician$290.3K$6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Horizon Youth HomesAZCommunity/Behavioral Health Agency$0$61.5M
    Tusa Integrated Clinic LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$47.6M
    Crisis Preparation And Recovery, IncAZCommunity/Behavioral Health Agency$0$37.3M
    Ulu Care, LLCAZCommunity Health Clinic/Center$0$33.2M
    Desert Rain Behavioral Health Services, LLCAZCommunity/Behavioral Health Agency$0$18.1M
    Tiger Care LLCAZRespite Care$0$15.7M
    Newfound Hope LLCAZCommunity/Behavioral Health Agency$0$12.8M
    Fountains Of Hope Behavioral Health LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$9.6M
    Northsight Recovery LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    Emblem Healthcare, Inc.AZHome Health Agency$0$8.9M

    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. Arizona Distribution
    Matthew Ploger — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona