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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Bergin
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    Edward Bergin — Billing Profile & Reimbursement Data

    NPI 1982100988 · Gillette, WY · Internal Medicine Physician

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    Edward Bergin is a internal medicine physician provider located in Gillette, Wyoming. This profile covers 7 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
    OrganizationEdward Bergin
    Address501 S Burma Ave
    CityGillette
    StateWY
    ZIP82716
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 30, 2018

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

    Payer SourceTotal Paid
    Medicare$49.9K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…460$60$27.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$8.2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…60$90$5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$90$3.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.6K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…40$60$2.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992337911070$90$11.3K
    992321119090$60$11K
    9922310413040$130$7.8K
    99239389050$80$6.9K
    992221316030$100$3.7K
    992314610050$40$2.9K
    992383310030$60$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Campbell County Hospital DistrictWYSubstance Use Disorder Rehabilitation Clinic/Center$0$2.3M
    Campbell County Hospital DistrictWYGeneral Acute Care Hospital$0$1.9M
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Michael SchekallMNDiagnostic Radiology Physician$1.7M$710
    Sidney Health CenterMTClinic/Center$0$1.1M
    Campbell County Hospital DistrictWYUrgent Care Clinic/Center$0$1.1M
    Binh TranINRadiation Oncology Physician$1M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Davis Home Health LLCWYHome Health Agency$0$3.5M
    Youth Emergency Services, Inc.WYEmotionally Disturbed Childrens' Residential Treatment Facility$0$2.4M
    Big Horn PediatricsWYPediatrics Physician$0$1.5M
    Ladeana BrownWYCase Management Agency$0$1M
    Campbell County Hospital DistrictWYPediatrics Physician$0$998.4K
    Campbell County Hospital DistrictWYEmergency Medicine Physician$0$964.2K
    Powder River Surgery CenterWYAmbulatory Surgical Clinic/Center$830K$0
    Valorie HofmeisterWYCase Manager/Care Coordinator$0$628.4K
    Campbell County Hospital DistrictWYOxygen Equipment & Supplies (DME)$0$563.2K
    Guardian Flight LLCWYAir Ambulance$554.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wyoming Distribution
    Edward Bergin — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming