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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Reynolds
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    John Reynolds — Billing Profile & Reimbursement Data

    NPI 1881787984 · Orleans, MA · Family Medicine Physician

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    John Reynolds is a family medicine physician provider located in Orleans, Massachusetts. This profile covers 12 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
    OrganizationJohn Reynolds
    Address81 Old Colony Way Ste D
    CityOrleans
    StateMA
    ZIP02653
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$90K
    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.

    12 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…350$90$32K
    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…450$60$28.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$130$19.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$170$3.3K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…10$230$2.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$30$710
    G0008Administration of influenza virus vaccine20$30$710
    G0009Administration of pneumococcal vaccine20$30$650
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…10$40$520
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…20$20$480

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149715,410110$80$15.6K
    G0439493,35070$120$11.9K
    992134113,70070$60$8.8K
    90677341,81020$280$7.7K
    994961052020$210$5.3K
    G00082313,49040$30$3.5K
    994951255020$150$3.1K
    93000322,03030$10$1.6K
    G01802692030$40$1.4K
    G0009361,93020$30$780

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    York HospitalPAFamily Medicine Physician$0$6.2M
    Medical Affiliates Of Cape Cod, Inc.MAInternal Medicine Physician$0$5.9M
    York HospitalMEGeneral Acute Care Hospital$0$5.8M
    Emily TierneyMAMOHS-Micrographic Surgery Physician$2.1M$0
    Thomas MillerMAFamily Medicine Physician$364.5K$448.2K
    Eleanor SullivanMACardiovascular Disease Physician$782.1K$0
    Benjamin LevinMAInternal Medicine Physician$683.3K$0
    John KalinMACardiovascular Disease Physician$617.9K$0
    Gregory RobkeMAInternal Medicine Physician$532.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Miriam KravitzMAFamily Nurse Practitioner$325.6K$0
    Cvs Pharmacy IncMAPharmacy$267.9K$0
    Cvs Pharmacy IncMAPharmacy$219.6K$0
    Kevin LoweyMAChiropractor$120.5K$0
    Eric CousinoMAChiropractor$119.5K$0
    Benjamin AndrulotMASports Physician Chiropractor$74.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    John Reynolds — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts