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    OpenPayerNPI Medicare & MedicaidJeffrey Hartzell
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    Jeffrey Hartzell — Billing Profile & Reimbursement Data

    NPI 1033479688 · Anchorage, AK · Medical Physician Assistant

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    Jeffrey Hartzell is a medical physician assistant provider located in Anchorage, Alaska. This profile covers 8 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
    OrganizationJeffrey Hartzell
    Address3801 Lake Otis Pkwy Ste 300
    CityAnchorage
    StateAK
    ZIP99508
    TaxonomyMedical Physician Assistant
    NPI EnumeratedMay 16, 2012

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

    Payer SourceTotal Paid
    Medicare$16K
    Medicaid$0

    Key Findings

    This provider’s billed Medicare footprint is small in absolute scale: Total Medicare revenue is $16K and there is no Medicaid billing on file, so the practice functions effectively as a single-payer Medicare biller rather than a dual-payer operation. The top three Medicare codes alone account for 84.1% of Medicare revenue, indicating heavy concentration in a narrow set of services.

    The code mix points to an outpatient, musculoskeletal–focused practice model centered on evaluation-and-management visits plus plain radiography. The two highest-revenue codes are 99213 and 99203 (office/outpatient E/M for established and new patients), and the third is 72100 (lumbosacral spine X-rays), which together suggest routine clinic visits with frequent lumbar imaging rather than a procedure-heavy specialty practice.

    Revenue concentration is pronounced: 99213 produces $8.1K (50.8% of this provider's total Medicare revenue), 99203 produces $3K (18.6%), and 72100 produces $2.4K (14.8%), and those top three codes together drive 84.1% of Medicare revenue. This high concentration suggests that shifts in outpatient visit volume or imaging utilization would meaningfully change the provider’s Medicare income profile.

    Competitive standing on core E/M codes is modest and broadly typical: 99213 ranks #177259 of 457151 providers nationally (61th percentile; typical, unremarkable volume for this code) and 99203 ranks #72527 of 161519 providers nationally (54th percentile; typical, unremarkable volume for this code). Those ranks indicate the provider is not a high-volume national outlier for office visits but operates at an ordinary volume level relative to peers.

    Imaging utilization shows a mixed competitive picture: 72100 ranks #5331 of 26330 providers nationally (79th percentile; typical, unremarkable volume), placing the provider above many peers in lumbosacral spine X-ray use, while other plain radiograph codes (73564, 73502, 73030) sit much lower (10th, 9th, and 8th percentile ranges respectively), implying selective emphasis on lumbar imaging rather than broad, high-volume radiography across multiple joints. This pattern is consistent with focused back-pain evaluation rather than a generalized imaging practice.

    Procedure and injection billing contribute only a small share of revenue and are low-volume relative to peers: 20610 produced $918 (5.7% of Medicare revenue) and ranks in the 10th percentile nationally, and J3301 produced $106 (0.7% of Medicare revenue) and ranks in the 39th percentile. These positions suggest occasional use of joint injections and steroid supply but not as a major revenue driver for this provider.

    The provider has a long enrollment history but limited lifetime billing: NPI enumerated (registered): 2012-05-16 (~14 years ago), yet lifetime Medicare revenue totals only $16K. This combination signals an established registrant who either maintains a low clinical billing volume, practices in a setting where Medicare patients represent a small fraction of care, or bills under alternate group NPIs for most services.

    From a payer network and contracting perspective, absence of any Medicaid billing on file (none below — this provider has no Medicaid billing on file) means the provider is effectively out of scope for Medicaid-focused network capacity; for payers targeting Medicaid populations this clinician would not materially expand in‑state Medicaid access based on the available billing record. For Medicare-focused analyses, the provider is a modest, narrowly focused ambulatory contributor concentrated in office E/M and lumbar imaging.

    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.

    8 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…110$80$8.1K
    99203The provider sees a new 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 provider…40$90$3K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…70$30$2.4K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$50$920
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$40$590
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$40$530
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.20$30$410
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg110$1$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921371,29070$70$8.5K
    99203243040$90$4.5K
    20610111040$50$3.6K
    7356417030$30$1.4K
    73502110030$20$1.1K
    7210017030$20$1K
    73030111040$20$890
    J3301170150$1$310

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthoalaska, LLCAKOrthopaedic Surgery Physician$0$5.8M
    John BotsonAKRheumatology Physician$1.8M$0
    First Care Medical Centers LLCAKUrgent Care Clinic/Center$0$1.1M
    Bryan HaughomAKOrthopaedic Surgery Physician$525.6K$0
    Laura LuebkeAKMedical Physician Assistant$428.6K$0
    Ryan RagleAKRheumatology Physician$413.8K$0
    James EuleAKOrthopaedic Surgery of the Spine Physician$400.6K$0
    Mark FlanumAKOrthopaedic Surgery of the Spine Physician$270K$0
    Derrick FogeAKOrthopaedic Surgery of the Spine Physician$268.1K$0
    Thomas PaynterAKOrthopaedic Surgery Physician$260.9K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alaska Distribution
    Jeffrey Hartzell — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska