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NPI 1881762011 · Durham, NC · Podiatrist
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Mark Pifer is a podiatrist provider located in Durham, North Carolina. This profile covers 15 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mark Pifer |
| Address | 114 Crutchfield St |
| City | Durham |
| State | NC |
| ZIP | 27704 |
| Taxonomy | Podiatrist |
| NPI Enumerated | December 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $73.8K |
| Medicare | $49.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 490 | $60 | $28.3K |
| 99212 | The 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,… | 130 | $40 | $4.7K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 100 | $40 | $4.4K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 40 | $70 | $2.4K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 30 | $60 | $2K |
| 29450 | The provider gently stretches the foot and applies a temporary cast in the ongoing treatment of clubfoot deformity, generally a congenital condition, but also the result of childhood polio.… | 10 | $160 | $1.9K |
| 99203 | The 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… | 20 | $80 | $1.3K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 10 | $90 | $1.1K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 60 | $20 | $1.1K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 30 | $30 | $780 |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11721 | 224 | 250 | 190 | $30 | $9.9K |
| 11056 | 167 | 210 | 100 | $50 | $8.4K |
| 99213 | 687 | 16,320 | 70 | $50 | $7.1K |
| 11055 | 158 | 170 | 50 | $50 | $3.6K |
| 97597 | 123 | 200 | 40 | $50 | $3.1K |
| 99203 | 4,022 | 5,450 | 30 | $70 | $3.1K |
| 11730 | 72 | 90 | 20 | $80 | $2.3K |
| 99212 | 301 | 2,890 | 30 | $30 | $2.1K |
| 29450 | 1 | 10 | 10 | $160 | $1.9K |
| J0702 | 423 | 430 | 180 | $1 | $1.4K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 4,910 | $20 | $73.7K |
| 99212 | The 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,… | 320 | $1 | $950 |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 130 | $1 | $130 |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 20 | $10 | $130 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 735 | 4,130 | 670 | $50 | $219.9K |
| 99212 | The 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,… | 386 | 1,060 | 150 | $30 | $27.6K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 86 | 120 | 520 | $1 | $12.9K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 26 | 30 | 70 | $10 | $2.2K |
Other providers in the same ZIP code as Mark Pifer, ranked by combined Medicare and Medicaid revenue.
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