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    OpenPayerNPI Medicare & MedicaidBrian Mcgettigan
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    Brian Mcgettigan — Billing Profile & Reimbursement Data

    NPI 1932305075 · Bensalem, PA · Otolaryngology Physician

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    Brian Mcgettigan is a otolaryngology physician provider located in Bensalem, Pennsylvania. This profile covers 16 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
    OrganizationBrian Mcgettigan
    Address3300 Tillman Dr
    CityBensalem
    StatePA
    ZIP19020
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 25, 2007

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

    Payer SourceTotal Paid
    Medicare$283.2K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.700$160$110.2K
    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…460$100$44.8K
    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…240$130$31.1K
    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…270$70$18.2K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…110$170$18.1K
    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…200$80$16.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.340$30$10.1K
    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.80$100$7.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…170$40$6.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…110$40$5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31231532060$130$15K
    992142,06923,230100$80$14.5K
    31579167040$130$11K
    992132,81022,37070$60$7.7K
    3157514938060$90$6.6K
    992046910,29030$110$5K
    31238223020$200$4.7K
    992031507,33030$70$3.5K
    9255739749090$30$3.4K
    6942042020$160$3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chinatown True Care Medical PLLCNYInternal Medicine Physician$0$94.9M
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Jisun ChaNYDermatopathology Physician$1.3M$5.7K
    Asif HussainPACardiovascular Disease Physician$980.9K$0
    Kehua LiNJMOHS-Micrographic Surgery Physician$877.2K$0
    Richard DanielsNJVascular Surgery Physician$827.7K$5.4K
    Sally Pullman-mooarPARheumatology Physician$752.4K$0
    Jeffrey BaliffPAAnatomic Pathology & Clinical Pathology Physician$685.9K$18.8K
    Nnamdi EzeTNHematology & Oncology Physician$678K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic Diagnostic Laboratories, LLC.PAClinical Medical Laboratory$1.5M$87.1M
    Brett Dinovi & Associates PA LLCPABehavior Analyst$0$74.8M
    Bright Medical Technology IncPACommunity/Retail Pharmacy$0$47.4M
    Dynamic Home Health Care, IncPAHome Health Agency$0$25.9M
    Brotherston Homecare, Inc.PADurable Medical Equipment & Medical Supplies$0$16.4M
    Warwick Family Based Program IncPACommunity/Behavioral Health Agency$0$14.7M
    Preferred Home Health Care & Nursing Services Inc.PAHome Health Agency$0$14M
    Livengrin Foundation, Inc.PACommunity/Behavioral Health Agency$0$13.9M
    Parkway Clinical Laboratories, Inc.PAClinical Medical Laboratory$270.9K$7.6M
    Contour Medical Supply IncPADurable Medical Equipment & Medical Supplies$0$7.5M

    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. Pennsylvania Distribution
    Brian Mcgettigan — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania