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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOwen Prentice
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    Owen Prentice — Billing Profile & Reimbursement Data

    NPI 1932374642 · Boston, MA · Emergency Medicine Physician

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    Owen Prentice is a emergency medicine physician provider located in Boston, Massachusetts. This profile covers 10 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
    OrganizationOwen Prentice
    Address1 Boston Medical Ctr Pl
    CityBoston
    StateMA
    ZIP02118
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedApril 23, 2008

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

    Payer SourceTotal Paid
    Medicare$48.8K
    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.

    10 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…300$90$25.8K
    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…70$110$7.8K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc120$50$5.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$110$3.4K
    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…40$50$2.3K
    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…30$70$2.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.80$10$1.2K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.30$10$390
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…20$10$210
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…60$1$170

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,78715,410110$80$15.6K
    992153,6736,36040$120$8.9K
    992139,06713,70070$60$8.8K
    992041,2255,87030$120$5.6K
    992032,1974,29030$80$4.1K
    U00021021020$50$1.9K
    9637243749060$10$1.1K
    878045335040$20$860
    8788012846020$20$410
    8100218692020$1$180

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Vinh TrangWAHematology & Oncology Physician$280.9K$0
    Brandon MasonOKDiagnostic Radiology Physician$277.6K$0
    Carrie FitzgeraldNJUrology Physician$227.8K$0
    Jonathan FarrellRIEmergency Medicine Physician$166.6K$0
    John FunaiHICardiovascular Disease Physician$166.3K$0
    Andrew SoPACardiovascular Disease Physician$148.8K$0
    Tyler ChiharaHIPodiatrist$140.6K$0
    Thomas CapelliHIInternal Medicine Physician$137.3K$0
    Willie NunezNMVascular & Interventional Radiology Physician$118.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Boston Medical Center CorporationMAGeneral Acute Care Hospital$0$768.7M
    Commonwealth Of MassachusettsMACommunity/Behavioral Health Agency$0$153.7M
    Boston Public Health CommissionMAAmbulance$5.9M$67.6M
    Boston Emergency Services Team (bupa) BostonMACommunity/Behavioral Health Agency$0$59.2M
    Boston Health Care For The Homeless Program, Inc.MAFederally Qualified Health Center (FQHC)$0$54.8M
    Boston Health Care For The Homeless Program, Inc.MAFederally Qualified Health Center (FQHC)$0$53.1M
    Boston University Psychiatry Associates, Inc.MAPsychiatry Physician$0$40.9M
    Evans Medical Foundation, Inc.MAInternal Medicine Physician$0$37.8M
    Child Health Foundation Of Boston, Inc.MAPediatrics Physician$0$26.6M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M

    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. Massachusetts Distribution
    Owen Prentice — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts