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NPI 1952699803 · Sherman, TX · Otolaryngology Physician
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Mcdonald Arnot is a otolaryngology physician provider located in Sherman, Texas. This profile covers 15 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mcdonald Arnot |
| Address | 204 Medical Dr Ste 200 |
| City | Sherman |
| State | TX |
| ZIP | 75092 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | July 13, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $241.9K |
| Medicare | $137.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 520 | $60 | $32.6K |
| 99214 | The 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 | $26.9K |
| 30469 | The provider applies radiofrequency energy to reshape the nasal valve in both nostrils. | 10 | $1,520 | $19.7K |
| 99204 | The 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… | 150 | $110 | $16.7K |
| 99203 | The 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 | $70 | $11.1K |
| 31575 | The 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. | 90 | $90 | $8.1K |
| 70486 | The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam. | 50 | $100 | $4.8K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 20 | $260 | $4.4K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 30 | $130 | $3.3K |
| 69433 | The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia. | 20 | $150 | $2.6K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 30469 | 13 | 20 | 20 | $1,630 | $34.3K |
| 99214 | 7,198 | 32,500 | 110 | $80 | $17.6K |
| 31237 | 109 | 120 | 40 | $270 | $12.8K |
| 31231 | 334 | 450 | 50 | $130 | $10.2K |
| 99223 | 9,261 | 9,990 | 40 | $130 | $9.5K |
| 99213 | 1,524 | 29,790 | 70 | $60 | $8.4K |
| 30140 | 63 | 80 | 20 | $280 | $7.8K |
| 99204 | 688 | 16,380 | 30 | $110 | $5.6K |
| 31575 | 82 | 550 | 40 | $90 | $4.6K |
| 99203 | 559 | 10,820 | 30 | $70 | $3.4K |
Showing 1–10 of 15
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 3,460 | $50 | $155.8K |
| 99203 | The 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… | 820 | $70 | $57.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 70 | $180 | $13.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 40 | $230 | $8.2K |
| 99214 | The 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 | $80 | $4.6K |
| 99204 | The 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… | 10 | $120 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 74 | 110 | 80 | $1,260 | $398.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 78 | 130 | 150 | $370 | $240.6K |
| 99213 | The 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… | 1,570 | 6,040 | 710 | $40 | $232.8K |
| 99214 | The 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… | 4,727 | 5,810 | 540 | $50 | $155.5K |
| 99203 | The 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… | 352 | 1,860 | 130 | $70 | $65.4K |
| 99204 | The 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… | 1,451 | 1,520 | 100 | $80 | $50.1K |
Other providers in the same ZIP code as Mcdonald Arnot, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gateway Diagnostic Imaging LLC | TX | Radiology Clinic/Center | $3.4M | $15.6K |
| Tariq Yousuf | TX | Interventional Cardiology Physician | $1.3M | $0 |
| Bharathy Sundaram | TX | Neurology Physician | $881.8K | $0 |
| Irene Alford | TX | Family Nurse Practitioner | $873.7K | $0 |
| Syed Shariq Saghir | TX | Nephrology Physician | $766.9K | $0 |
| Clint Hayes | TX | Surgery Physician | $699.2K | $0 |
| Easwar Sundaram | TX | Neurology Physician | $633.4K | $31.5K |
| Muqdad Zuriqat | TX | Specialist | $598.2K | $0 |
| Peter Selz | TX | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | $192.6K | $336.2K |
| Aniwelyn Tan | TX | Family Nurse Practitioner | $431.4K | $5.4K |
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