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    OpenPayerNPI Medicare & MedicaidJustin Dixon
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    Justin Dixon — Billing Profile & Reimbursement Data

    NPI 1013182443 · Ashland, KY · Urology Physician

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    Justin Dixon is a urology physician provider located in Ashland, Kentucky. This profile covers 18 Medicare and 2 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
    OrganizationJustin Dixon
    Address336 29th St
    CityAshland
    StateKY
    ZIP41101
    TaxonomyUrology Physician
    NPI EnumeratedApril 27, 2008

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

    Payer SourceTotal Paid
    Medicare$122.5K
    Medicaid$940

    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.

    18 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…400$80$32.6K
    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…240$60$14.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg90$140$11.6K
    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…190$60$11K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…170$60$9.6K
    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…100$100$9.5K
    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…90$110$9.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$300$5.7K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…40$110$3.7K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$120$3.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92172730200$130$28.3K
    52000129070$140$17.4K
    5587471020$910$17.2K
    992149507,230110$70$14.1K
    992329092,860100$60$11.6K
    55700155020$310$11.2K
    5231033020$340$10.3K
    52356245020$400$8.8K
    5228762020$280$7.7K
    992131,2377,25080$50$7.7K

    Showing 1–10 of 18

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$20$940
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…40$1$40

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9723,3401,020$30$296K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…372450390$1$5.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashland Hospital CorporationKYGeneral Acute Care Hospital$0$222.9M
    King's Daughters Medical CenterMSGeneral Acute Care Hospital$0$32.2M
    State Of Mississippi - University Of Mississippi Medical CenterMSCritical Access Hospital$0$7.5M
    Kings Daughters Medical Specialties IncKYFamily Medicine Physician$0$6.7M
    Kings Daughters Medical Specialties Inc.KYCardiovascular Disease Physician$0$6.3M
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Robert FriedKYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$719.4K$0
    Terry JusticeKYRadiation Oncology Physician$597.6K$0
    Ibraiz IqbalKYInterventional Cardiology Physician$197K$392.3K
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathways, Inc.KYMental Health Clinic/Center (Including Community Mental Health Center)$0$95.4M
    Pathways IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$82.2M
    A Brighter FutureKYCommunity/Behavioral Health Agency$0$39.8M
    A Center 4 ChangeKYCounseling Psychologist$0$22M
    Fivco Add Cdo As Fiscal AgentKYSupports Brokerage Agency$0$21M
    Our Lady Of Bellefonte Hospital IncKYGeneral Acute Care Hospital$0$12.1M
    Advocate Medical Services, LLCKYDurable Medical Equipment & Medical Supplies$0$10.6M
    Ultimate Care Behavioral Health ServicesKYMental Health Clinic/Center (Including Community Mental Health Center)$0$10.6M
    Wecare Medical, LLCKYOxygen Equipment & Supplies (DME)$0$9.9M
    Nancy MussetterKYDentist$0$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. Kentucky Distribution
    Justin Dixon — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Justin Dixon — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky