Dr. John NilesMD

NephrologyBoston, MANPI 1316912033
73Average

Top 35% of Nephrology providers

Revenue Score Breakdown

E&M Coding (25%)100
Program Utilization (25%)0
Revenue Efficiency (20%)100
Service Diversity (15%)85
Patient Volume (15%)100
Revenue Score: 73

Embed this badge on your website: <a href="https://npixray.com/provider/1316912033"><img src="https://npixray.com/api/badge/1316912033" /></a>

Is this your profile?

Claim it to unlock exclusive features

Score change alerts
Full revenue analysis
Download PDF report
Share:

One-Click LinkedIn Post

Just discovered my practice's Revenue Score on NPIxray — scored 73/100 (Average). Interesting breakdown of E&M coding patterns, program adoption, and revenue efficiency.

https://npixray.com/provider/1316912033

Medicare Patients

225

Total Services

26K

Medicare Payment

$1.0M

E&M Visits

249

Top Billing Codes

CodeServicesPaymentAvg/Service
Q511518,150$611K$33.65
J93125,500$347K$63.07
96413253$31K$122.09
99214225$22K$97.53
96415766$20K$25.71
96375257$4K$14.12
9921524$4K$148.08
9636557$3K$58.81
36415363$3K$8.38
85025249$2K$7.57

E&M Code Distribution

Evaluation & Management visit level distribution based on CMS Medicare billing data. Higher-level codes (99214, 99215) indicate more complex patient encounters.

99211
0.0%
99212
0.0%
99213
0.0%
99214
90.4%
99215
9.6%

Care Management Programs

Medicare care management program participation based on CMS billing data. Active programs represent significant revenue and better patient outcomes.

CCM
Not Billing

Chronic Care Management (99490)

Services

0

Payment

$0

RPM
Not Billing

Remote Patient Monitoring (99454/99457)

Services

0

Payment

$0

BHI
Not Billing

Behavioral Health Integration (99484)

Services

0

Payment

$0

AWV
Not Billing

Annual Wellness Visit (G0438/G0439)

Services

0

Payment

$0

Unlock Patient Eligibility Lists

We identified potential CCM, RPM, and AWV candidates from Dr. John Niles's Medicare patient panel. Upgrade to see the full eligibility breakdown and personalized action plan.

Upgrade to Pro — $199/mo

Other Nephrology Providers in Boston

See Dr. John Niles's Full Revenue Analysis

Enter any NPI number to instantly see missed revenue from E&M coding gaps, CCM, RPM, BHI, and AWV programs.

Run Free Scan

Data sourced from CMS Medicare Physician & Other Practitioners public dataset. All information shown is publicly available government data. This page does not contain any protected health information (PHI).