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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRyan Dougherty
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    Ryan Dougherty — Billing Profile & Reimbursement Data

    NPI 1891089348 · Wilmington, NC · Family Medicine Physician

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    Ryan Dougherty is a family medicine physician provider located in Wilmington, North Carolina. This profile covers 21 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
    OrganizationRyan Dougherty
    Address8108b Market St
    CityWilmington
    StateNC
    ZIP28411
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 1, 2011

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

    Payer SourceTotal Paid
    Medicare$60.2K
    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.

    21 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…230$70$16.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$120$11.8K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…100$80$7.6K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…640$10$5.1K
    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…50$60$2.8K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…600$1$2.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…140$20$2.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.150$10$1.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$1.9K
    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.150$10$1.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8397027830050$40$23K
    8230676687050$30$20.2K
    844433761,09090$20$18K
    800614751,180110$10$17.4K
    800535611,400100$10$16.5K
    992145,08418,060110$80$15.1K
    G04391,2924,16060$120$10.5K
    850256201,92080$10$7.4K
    9921310,00616,32070$50$7.1K
    364151,1043,49090$10$6.4K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin MillerNCInternal Medicine Physician$457K$0
    Matthew MessierNCInternal Medicine Physician$432.2K$0
    Robert TaltonNCFamily Medicine Physician$374.2K$0
    Thomas LeeNCInternal Medicine Physician$371.2K$0
    Jeffrey KornegayNCInternal Medicine Physician$281.6K$0
    Janice DickersonNCFamily Medicine Physician$267.9K$0
    James AppelNCDermatology Physician$261.5K$0
    Christopher JarrettNCOrthopaedic Surgery Physician$256.3K$0
    Noah PiersonNCFamily Medicine Physician$210.7K$0
    Dean MeiselNCInternal Medicine Physician$205.1K$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.

    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. North Carolina Distribution
    Ryan Dougherty — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina