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    OpenPayerNPI Medicare & MedicaidJacob Joseph
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    Jacob Joseph — Billing Profile & Reimbursement Data

    NPI 1053330175 · Fort Smith, AR · Gastroenterology Physician

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    Jacob Joseph is a gastroenterology physician provider located in Fort Smith, Arkansas. This profile covers 15 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
    OrganizationJacob Joseph
    Address6801 Rogers Ave
    CityFort Smith
    StateAR
    ZIP72903
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 19, 2006

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

    Payer SourceTotal Paid
    Medicare$125.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…250$190$47.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.140$70$10.3K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk60$170$9.1K
    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…70$130$8.9K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.120$70$8.1K
    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…130$60$7.5K
    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…70$90$6.2K
    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…80$60$4.6K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$120$4.5K
    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…40$90$4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851213070$250$27.9K
    992142,8114,300130$70$18.8K
    99233794960130$90$18.2K
    992327361,450130$60$14.7K
    G0105538040$250$13.7K
    432393816080$110$12.9K
    453806513040$180$12.5K
    992234861,17050$120$10.6K
    992132,2994,180100$50$9.6K
    G0121149020$230$7.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Clinic Fort Smith CommunitiesARMulti-Specialty Clinic/Center$0$24.1M
    Mercy Hospital Fort SmithARGeneral Acute Care Hospital$0$22.5M
    Mercy Hospital RogersARGeneral Acute Care Hospital$0$14.2M
    Mercy Clinic Fort Smith CommunitiesARMedical Specialty Clinic/Center$0$2.3M
    Mercy Hospital RogersARHome Health Agency$0$1.8M
    Mercy Clinic Fort Smith CommunitiesAROrthopaedic Surgery Physician$0$1.6M
    Harvinder DodARCardiovascular Disease Physician$1.4M$0
    Julio SchwarzARCardiovascular Disease Physician$739.6K$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0
    Benton LoggainsARPhysician Assistant$640.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Gregory Kistler Treatment Center, Inc.ARVoluntary or Charitable Agency$0$28.3M
    Bost, Inc.ARCounselor$0$25.9M
    Western Arkansas Counseling & Guidance Center, IncARCommunity/Behavioral Health Agency$0$21.3M
    Arkansas Family Supports, Inc.ARIn Home Supportive Care Agency$0$15.6M
    Kids Unlimited Learning Academy Of Ft. SmithARRehabilitation Clinic/Center$0$10.5M
    1 Of A Kind In Home Care And Medical Services LLCARIn Home Supportive Care Agency$0$7M
    The Gregory Kistler Treatment Center, Inc.ARVoluntary or Charitable Agency$0$6.5M
    Little Hands At Play Therapy, LLCARPediatric Occupational Therapist$0$4.9M
    The Guidance Center - Crisis Stabilization UnitARCommunity/Behavioral Health Agency$0$4.5M
    Lpg, Inc.ARPediatric Occupational Therapist$0$4.1M

    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. Arkansas Distribution
    Jacob Joseph — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas