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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Blundin
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    Michael Blundin — Billing Profile & Reimbursement Data

    NPI 1982821484 · Riverside, RI · Pulmonary Disease Physician

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    Michael Blundin is a pulmonary disease physician provider located in Riverside, Rhode Island. This profile covers 13 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
    OrganizationMichael Blundin
    Address375 Wampanoag Trl
    CityRiverside
    StateRI
    ZIP02915
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedApril 19, 2007

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

    Payer SourceTotal Paid
    Medicare$46.5K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…80$170$14K
    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…100$100$10.2K
    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…110$60$6.6K
    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…60$100$5.5K
    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…30$130$4K
    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…20$120$2K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.60$30$1.7K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…20$50$860
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…40$20$700
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…20$20$460

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149171,950100$80$11.7K
    992916330040$170$10.3K
    9923322147060$90$9.1K
    992136731,95070$60$7.4K
    9922327154030$130$6.4K
    9920457574030$110$4.6K
    94729194060$20$2.6K
    94726253050$30$2.4K
    94010334050$20$1.3K
    9472772020$20$1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward MedeirosRINephrology Physician$87.2K$6.8M
    Susie HuRINephrology Physician$30.9K$911.1K
    Joseph GarlandRIInfectious Disease Physician$17.4K$743.1K
    Gabrielle BurkeRIFamily Nurse Practitioner$3.6K$439.4K
    Brown MedicineRIInternal Medicine Physician$0$351K
    Brown MedicineRIAmbulatory Surgical Clinic/Center$218.5K$0
    Franklin MccoolRIPulmonary Disease Physician$56.2K$102.6K
    Valerie ThomasRIEndocrinology, Diabetes & Metabolism Physician$131.6K$40
    Thomas SepeRIGastroenterology Physician$100K$29.4K
    Jason AliottaRIPulmonary Disease Physician$40.3K$63.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$37.6M
    East Bay Community Action ProgramRIMental Health Clinic/Center (Including Community Mental Health Center)$0$20.5M
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$5M
    Health Care Connections Nursing Services, IncRIHome Health Agency$0$3.6M
    City Of East ProvidenceRILocal Education Agency (LEA)$0$2.2M
    East Bay Community Action ProgramRICommunity/Behavioral Health Agency$0$2.2M
    East Bay Community Action ProgramRICommunity Health Clinic/Center$0$1.5M
    Amerita IncRIHome Infusion Therapy Pharmacy$0$1.1M
    Care Resource, LLCRIHome Health Agency$0$1.1M
    City Of East ProvidenceRILocal Education Agency (LEA)$0$768.1K

    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
    Michael Blundin — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island