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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCraig Canfield
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    Craig Canfield — Billing Profile & Reimbursement Data

    NPI 1053403774 · San Luis Obispo, CA · Urology Physician

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    Craig Canfield is a urology physician provider located in San Luis Obispo, California. This profile covers 43 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
    OrganizationCraig Canfield
    Address35 Casa St Ste 370
    CitySan Luis Obispo
    StateCA
    ZIP93405
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 29, 2006

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

    Payer SourceTotal Paid
    Medicare$785.9K
    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.

    43 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…2,050$100$196.8K
    J0897Injection, denosumab, 1 mg7,080$20$127.4K
    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…1,480$70$97.6K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg400$130$52.3K
    J3145Injection, testosterone undecanoate, 1 mg45,000$1$45K
    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…200$190$37.4K
    J3490Unclassified drugs270$90$23.9K
    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…150$130$19.6K
    64566In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.190$100$19.3K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$580$15.7K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08972121,0303,060$20$91.4K
    J314592043,500$1$89K
    J05853464007,640$1$86K
    J34906932080$190$49.2K
    9921424937,970120$90$23.2K
    J921720320130$130$22.1K
    517288517030$310$18.2K
    50590288020$780$17.9K
    522818711020$310$17.2K
    6456659210130$100$16.5K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WatrousCARheumatology Physician$4M$5M
    Stephen CouvillionCARetina Specialist (Ophthalmology) Physician$6.4M$0
    Alessandro CastellarinCARetina Specialist (Ophthalmology) Physician$5.4M$0
    William PaceCANuclear Medicine Physician$4.1M$0
    Dante PieramiciCARetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel GreenwaldCAMedical Oncology Physician$3.5M$0
    Ma'an NasirCARetina Specialist (Ophthalmology) Physician$3M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Mukul GuptaCAMedical Oncology Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of The Central Coast, IncCACommunity Health Clinic/Center$0$31.2M
    Barry EibschutzCARheumatology Physician$6.6M$583.6K
    Galileo Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.4M$1.1M
    Michael HeffernanCADermatology Physician$2.1M$0
    Joseph DiehlCAMOHS-Micrographic Surgery Physician$1.6M$0
    Jeffrey WuCARadiation Oncology Physician$1.4M$0
    Cheryl KetelsenCAMedical Physician Assistant$1.2M$0
    Christopher JohnsonCAUrology Physician$896.5K$0
    Magnetic Resonance Imaging Of San Luis Obispo, Inc.CADiagnostic Radiology Physician$652.7K$6.2K
    Nicholas CaggianoCASurgery of the Hand (Surgery) Physician$558.5K$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. California Distribution
    Craig Canfield — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California