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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Forsythe
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    William Forsythe — Billing Profile & Reimbursement Data

    NPI 1982643565 · Kennewick, WA · Emergency Medicine Physician

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    William Forsythe is a emergency medicine physician provider located in Kennewick, Washington. This profile covers 24 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
    OrganizationWilliam Forsythe
    Address415 N Morain St
    CityKennewick
    StateWA
    ZIP99336
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJune 6, 2006

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

    Payer SourceTotal Paid
    Medicare$667.6K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…2,680$90$246.9K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…970$80$80.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.970$70$64K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…1,790$30$55.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…900$40$34K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.850$40$34K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…240$110$25.2K
    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…450$50$22.7K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…330$50$17.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.530$30$17K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930933370160$70$25.3K
    99349220070$80$16.6K
    99458240120$30$14.9K
    99457450140$40$13.9K
    992143,57010,860100$80$13.6K
    99350179040$120$12.3K
    1172143210190$30$11.6K
    99454450120$40$10.4K
    11042217090$70$10.4K
    1105613016090$60$9.4K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ideal Option, PLLCWAClinic/Center$0$259.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Ideal Option, PLLCWAClinical Medical Laboratory$0$39.2M
    Lourdes Hospital LLCWACritical Access Hospital$0$34M
    Lourdes Hospital LLCWAPsychiatric Hospital$0$22.4M
    Lourdes Hospital LLCWAInternal Medicine Physician$0$8.7M
    Ideal Option, PLLCMDAddiction Medicine (Family Medicine) Physician$0$7.4M
    Ideal Option, PLLCMTAddiction Medicine (Family Medicine) Physician$0$3.6M
    Ideal Option, PLLCMTAddiction Medicine (Family Medicine) Physician$0$3.3M
    Crm Physicians, LLCORInternal Medicine Physician$0$2.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yakima Valley Farm Workers ClinicWADentist$0$20.5M
    City Of KennewickWAAmbulance$906.2K$11.5M
    Pinnacle Pain Center, PsWAPain Medicine (Anesthesiology) Physician$0$11.6M
    Lutheran Community Services NorthwestWAMental Health Clinic/Center (Including Community Mental Health Center)$0$10.4M
    Three Rivers Therapy, LLCWAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Tri-cities Laboratory, LLCWAClinical Medical Laboratory$0$8.7M
    Columbia Physical Therapy Inc PsWAPhysical Therapist$0$6.7M
    Ideal Balance PLLCWASubstance Use Disorder Rehabilitation Clinic/Center$0$5.3M
    Qualicenters Inland Northwest L.L.C.WAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.1M
    Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps.WAOral and Maxillofacial Surgery (Dentist)$0$4.8M

    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. Washington Distribution
    William Forsythe — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington