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    OpenPayerNPI Medicare & MedicaidDaniel Regan
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    Daniel Regan — Billing Profile & Reimbursement Data

    NPI 1972619864 · Johnston, RI · Family Medicine Physician

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    Daniel Regan is a family medicine physician provider located in Johnston, Rhode Island. This profile covers 11 Medicare and 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Regan
    Address1526 Atwood Ave
    CityJohnston
    StateRI
    ZIP02919
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$265K
    Medicare$44.2K

    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.

    11 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…160$90$13.5K
    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…180$60$11.2K
    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…80$80$6.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…150$30$5.1K
    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…30$120$3.2K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.120$20$1.9K
    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.100$20$1.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…50$20$1.1K
    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…70$1$200
    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…10$10$130

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025132080$10$16.5K
    992146501,950100$80$11.7K
    992133911,95070$60$7.4K
    9920436574030$110$4.6K
    992038958030$70$3.6K
    71046103150130$10$2.8K
    8742646030$30$1.5K
    8780454040$20$940
    9300030538030$10$810
    8788047020$20$530

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    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…2,310$70$152.5K
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)1,300$40$49.4K
    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…650$40$27.8K
    H0037Community psychiatric supportive treatment program, per diem250$110$26.8K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…880$10$6.2K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.20$30$580
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…10$10$140
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.10$10$120
    H0006Alcohol and/or drug services; case management130$0$0
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)273012,240$50$3.9M
    H0037Community psychiatric supportive treatment program, per diem3070190$380$3.2M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes8190510$10$187.5K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.226240150$80$91.9K
    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…1471,730220$70$75.2K
    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…7142,050300$50$72.3K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.759090$60$67.5K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…137150120$30$16.4K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…1160210$10$5.4K
    H0006Alcohol and/or drug services; case management2230940$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southcoast Physicians Group, Inc.MAFamily Medicine Physician$0$49.8M
    Sylvester SvioklaRIAddiction Medicine (Family Medicine) Physician$0$4.2M
    Atmed Treatment Center, Inc.RIInternal Medicine Physician$0$3.1M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$2.7M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$148.3K$2M
    Fredy RolandRIInternal Medicine Physician$21.4K$1.4M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$55.6K$1.1M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$1.1M
    P CanchisRIInternal Medicine Physician$45.1K$921.1K
    Paul DionisopoulosRIEmergency Medicine Physician$0$939.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Comfort LLCRIHome Health Agency$0$18.7M
    The Journey To Hope, Health & Healing, IncRIMethadone Clinic$0$16.8M
    Tri-county Community Action AgencyRIFederally Qualified Health Center (FQHC)$0$7.4M
    Absolute Respiratory Care LLCRIOxygen Equipment & Supplies (DME)$0$6.4M
    Ocean State Behavioral Health, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$5.6M
    Fredrick McmillenRIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Svetlo IncRIAdult Day Care Clinic/Center$0$4.8M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Barrett NordstromRIOrthodontics and Dentofacial Orthopedics Dentistry$0$3.9M
    The Autism ProjectRIVoluntary or Charitable Agency$0$3.1M

    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. Rhode Island Distribution
    Daniel Regan — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Daniel Regan — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island