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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Mcnamar
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    Justin Mcnamar — Billing Profile & Reimbursement Data

    NPI 1912958836 · Madison, WI · Otolaryngology Physician

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    Justin Mcnamar is a otolaryngology physician provider located in Madison, Wisconsin. 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
    OrganizationJustin Mcnamar
    Address1821 S Stoughton Rd
    CityMadison
    StateWI
    ZIP53716
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 15, 2006

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

    Payer SourceTotal Paid
    Medicare$48.9K
    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
    99203The 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…150$80$11.5K
    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…160$60$9.7K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.40$130$5.5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.60$90$5K
    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…60$90$4.8K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…10$280$4K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$150$2.5K
    30901The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose.20$120$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$90$1.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.40$30$1.3K

    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
    13132374060$190$15.1K
    992145,9019,80080$70$9.2K
    992131,3549,38060$50$4.7K
    312312810030$100$3.9K
    992042,1753,39030$100$3.7K
    315753013040$70$2.9K
    99203432,82030$60$2.4K
    6943351020$130$2.3K
    6921010421040$20$1.9K
    3090172010$90$1.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reedsburg Area Medical Center, Inc.WICritical Access Hospital$0$13.7M
    Reedsburg Area Medical Center, Inc.WIRural Health Clinic/Center$0$1.9M
    Danubia HesterMDHematology & Oncology Physician$940K$0
    Jennifer PetersonWIDermatology Physician$189.9K$4.5K
    Marcus SubletteWIInterventional Cardiology Physician$192.2K$0
    Douglas BullWIOphthalmology Physician$176.4K$2K
    Shenil ShahTXPulmonary Disease Physician$161.6K$0
    Feng WangPACardiovascular Disease Physician$156.9K$0
    Reedsburg Area Medical Center, Inc.WICommunity/Retail Pharmacy$146.8K$9.9K
    Katie PorterWIPhysician Assistant$147K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas KuhnWIOrthodontics and Dentofacial Orthopedics Dentistry$0$5.6M
    Madison Pediatric Dental, ScWIPediatric Dentistry$0$2M
    Ashley NeiweemWIOphthalmology Physician$183.2K$0
    Walgreen CoWIPharmacy$161.5K$11.7K
    Jining WangWIDermatology Physician$170.8K$0
    Caroline SchmittWIDermatology Physician$165K$0
    Walgreen CoWIPharmacy$133.7K$25.5K
    John KellyWIAllergy & Immunology Physician$134.1K$0
    Nathan JungWIUrology Physician$89.6K$0
    Nicholas StreitWIPodiatrist$88.2K$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.

    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. Wisconsin Distribution
    Justin Mcnamar — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin