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    OpenPayerNPI Medicare & MedicaidAllen Mcculloch
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    Allen Mcculloch — Billing Profile & Reimbursement Data

    NPI 1881778215 · Farmington, NM · Urology Physician

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    Allen Mcculloch is a urology physician provider located in Farmington, New Mexico. This profile covers 15 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAllen Mcculloch
    Address2300 E 30th
    CityFarmington
    StateNM
    ZIP87401
    TaxonomyUrology Physician
    NPI EnumeratedOctober 24, 2006

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

    Payer SourceTotal Paid
    Medicare$143.7K
    Medicaid$330

    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.

    15 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…520$70$38.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg230$130$30.5K
    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…490$60$27.2K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$160$15.8K
    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…80$110$8.5K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$540$6.5K
    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…40$110$4.4K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1,060$1$3.2K
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…60$40$2.4K
    96402In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.90$20$2K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9217520180$130$23.4K
    992141722,70090$70$12.9K
    5260141010$700$12.6K
    5200093060$130$9.9K
    9921543096040$110$7.8K
    992131372,44060$50$7.3K
    992041831,21030$100$4.5K
    9920526334020$140$4.3K
    9920372187030$60$3.3K
    9921229457030$30$2.2K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…100$1$310

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Mexico median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…55604,170$10$56.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maria KingNMNurse Practitioner$23K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Juan Regional Medical Center, Inc.NMGeneral Acute Care Hospital$0$141.5M
    Basin Coordinated Healthcare,incNMPersonal Care Attendant$0$79.7M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$41.2M
    Links Ii IncNMIn Home Supportive Care Agency$0$38.9M
    Generations Personal Care, IncNMPersonal Care Attendant$0$33.9M
    Southwestern Private Services, Inc.NMHome Health Agency$0$30.4M
    San Juan Regional Medical Center IncNMEmergency Medicine Physician$0$23.8M
    San Juan Center For IndependenceNMHome Health Agency$0$22.5M
    Cottonwood Clinical Services, Inc.NMCommunity/Behavioral Health Agency$0$18.1M
    San Juan Regional Medical Center IncNMPediatrics Physician$0$15.7M

    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. New Mexico Distribution
    Allen Mcculloch — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico
    Medicaid Revenue by Year vs. New Mexico Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Allen Mcculloch — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico