Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffery Prosser
    Ask Trek AI about this page

    Jeffery Prosser — Billing Profile & Reimbursement Data

    NPI 1023154515 · Tarpon Springs, FL · Family Medicine Physician

    Customize your policy alerts

    Sign up for Jeffery Prosser — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffery Prosser is a family medicine physician provider located in Tarpon Springs, Florida. This profile covers 11 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.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffery Prosser
    Address905 E Martin Luther King Jr Dr Ste 390
    CityTarpon Springs
    StateFL
    ZIP34689
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 30, 2007

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

    Payer SourceTotal Paid
    Medicare$40.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…100$140$14.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…270$40$11.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.270$30$7.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$140$2.5K
    G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…70$20$1.8K
    J3415Injection, pyridoxine hcl, 100 mg270$1$1.1K
    J3475Injection, magnesium sulfate, per 500 mg640$1$640
    J0610Injection, calcium gluconate (fresenius kabi), per 10 ml180$1$550
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…20$30$430
    J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg270$1$270

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9935034275080$120$33K
    G03187013090$20$10.8K
    992156,8028,55040$130$10.7K
    J3415410310$10$10.4K
    992123376,92040$40$2.9K
    96374935050$30$2.4K
    G221226532040$20$2K
    J0610110140$1$440
    J34201521,13070$1$150
    J34756110150$1$130

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian PhillpottsFLOphthalmology Physician$4.5M$0
    St Lukes Surgical Center IncFLAmbulatory Surgical Clinic/Center$3.9M$36K
    Estuardo PonceFLOphthalmology Physician$3.3M$0
    David LamFLDermatology Physician$1.3M$0
    James GillsFLOphthalmology Physician$888.4K$0
    Jeffrey WipfliFLOphthalmology Physician$739.3K$0
    Brandon RodriguezFLOphthalmology Physician$362.5K$0
    Equbal KalaniFLCardiovascular Disease Physician$280.6K$0
    Nicolas VillanustreFLPlastic Surgery Physician$184.3K$0
    John BidelspachFLFoot & Ankle Surgery Podiatrist$85.6K$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.

    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. Florida Distribution
    Jeffery Prosser — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida