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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Magenheim
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    Douglas Magenheim — Billing Profile & Reimbursement Data

    NPI 1871574780 · Cincinnati, OH · Internal Medicine Physician

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    Douglas Magenheim is a internal medicine physician provider located in Cincinnati, Ohio. This profile covers 20 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 Magenheim
    Address9050 Montgomery Road
    CityCincinnati
    StateOH
    ZIP45242
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 8, 2005

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

    Payer SourceTotal Paid
    Medicare$107.4K
    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.

    20 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…510$90$45.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$120$18.8K
    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…210$60$12.7K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…50$140$7.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.390$10$5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$130$4.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.370$10$3.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…270$10$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.280$10$2.2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…180$10$1.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005377520100$10$19.6K
    8006134480110$10$18K
    992141,09520,010100$70$11.7K
    8763664020$140$11.3K
    G04396214,72060$90$7.4K
    992133,35720,00070$50$6.6K
    8004821235060$10$6.2K
    992152,3424,95030$110$5.9K
    364153131,91090$10$5.4K
    830361502,11040$10$2.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah GerdesOHInternal Medicine Physician$55.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Hospice Of Cincinnati IncorporatedOHCommunity Based Hospice Care Agency$0$54M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Douglas Magenheim — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio