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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Mcgrath
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    Paul Mcgrath — Billing Profile & Reimbursement Data

    NPI 1891765376 · South Portland, ME · Cardiovascular Disease Physician

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    Paul Mcgrath is a cardiovascular disease physician provider located in South Portland, Maine. This profile covers 17 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
    OrganizationPaul Mcgrath
    Address50 Foden Rd
    CitySouth Portland
    StateME
    ZIP04106
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicare$97.6K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…330$140$45.3K
    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…400$90$36K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…410$10$4.1K
    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…60$60$3.2K
    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…20$100$1.7K
    93228In this procedure, the provider reviews and interprets data collected from the continuous recording and transmission of electrocardiographic data to detect abnormal heart rates and rhythms. He…70$20$1.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.120$10$940
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…20$50$860
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…20$40$680
    93225The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports…50$10$630

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330617100140$50$10.7K
    99214612,50070$70$7.2K
    8388041020$40$5.7K
    992131,1092,35050$50$4.3K
    9920459381030$100$3.6K
    3641510525090$10$2.2K
    8005311523060$10$2.1K
    8444310216040$20$1.8K
    850258520050$10$1.6K
    80048409030$10$1.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Intermed, PAMEInternal Medicine Physician$0$821.2K
    Kenneth GaleckasMEDermatology Physician$325.8K$0
    Daniel LoiselleMEInternal Medicine Physician$300.5K$0
    Caroline WilmotMEPrimary Care Nurse Practitioner$174.8K$0
    Victoria LazarethMEAdult Health Nurse Practitioner$165.7K$3.5K
    James ZeitlinMEInternal Medicine Physician$89.1K$0
    Robert FraserMEInternal Medicine Physician$87.3K$0
    Kathy BushMEDermatology Physician$86.9K$0
    James ParkerMECardiovascular Disease Physician$78.5K$0
    Peter EmeryMEInternal Medicine Physician$75K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alpha OneMECase Management Agency$0$121.3M
    Port ResourcesMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$82.9M
    The Opportunity AllianceMEMental Illness Community Based Residential Treatment Facility$0$50.6M
    Community Home Health CareMEIn Home Supportive Care Agency$0$40.3M
    Serenity Residential Care, LLCMEIn Home Supportive Care Agency$0$34.4M
    Noreast Home Care, LLCMEIn Home Supportive Care Agency$0$24.7M
    Center For Behavioral Health Me, Inc.MESubstance Use Disorder Rehabilitation Clinic/Center$536.2K$20.1M
    Connections For KidsMESocial Worker$0$13.8M
    Vna Home Health & HospiceMEHome Health Agency$227.2K$10.4M
    Standard Care, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.2M

    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. Maine Distribution
    Paul Mcgrath — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine