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    OpenPayerNPI Medicare & MedicaidRobert Cole
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    Robert Cole — Billing Profile & Reimbursement Data

    NPI 1053858704 · King,an, AZ · Family Nurse Practitioner

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    Robert Cole is a family nurse practitioner provider located in King,an, Arizona. This profile covers 18 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
    OrganizationRobert Cole
    Address3545 Cheyenne Ave
    CityKing,an
    StateAZ
    ZIP86401
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 19, 2017

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

    Payer SourceTotal Paid
    Medicare$31.3K
    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.

    18 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…520$50$24.6K
    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,…60$30$1.6K
    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…30$50$1.2K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…50$20$780
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.50$20$770
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.20$20$320
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…30$10$300
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.10$20$260
    90714The provider administers a preservative free combination vaccine for diphtheria and tetanus toxoids intramuscularly to an individual older than seven years to prevent these diseases.10$20$250
    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…10$20$240

    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
    992136479,60080$60$9.6K
    992032,4634,10040$70$4K
    992126822,31030$40$2.4K
    7104636672050$20$2.2K
    7363053961060$20$2.2K
    7356252853050$20$1.9K
    7210038944040$20$1.3K
    963729381,56040$10$1K
    7361035940030$20$960
    8100310081030$1$440

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingman Healthcare, IncAZGeneral Acute Care Hospital$0$86.1M
    Kingman Healthcare, IncAZSpecialist$0$9.8M
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Ryan JonesAZPhlebology Physician$1.1M$0
    Kathleen NaegeleILHematology & Oncology Physician$805.1K$57.9K
    Gordon GradoAZRadiation Oncology Physician$826.6K$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0
    Darren WhittemoreTXAnatomic Pathology & Clinical Pathology Physician$714.1K$0
    Dennis DunningVACardiovascular Disease Physician$531.3K$0
    Tiffany LewisNMDiagnostic Radiology Physician$402K$3.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$107.1K$11.8M
    Southwest Behavioral Health Services, Inc.AZMental Health Clinic/Center (Including Community Mental Health Center)$0$8.4M
    North Country Healthcare, Inc.AZMulti-Specialty Clinic/Center$0$7.5M
    Todd JacksonAZOphthalmology Physician$431.2K$21.2K
    Kevin O BrienAZFoot & Ankle Surgery Podiatrist$269.2K$0
    Kurtis ManleyAZMedical Physician Assistant$180.8K$0
    Ernest MonsonAZFamily Nurse Practitioner$161.8K$0
    Melissa OgdenAZNurse Practitioner$108.1K$0
    Mahmood KhanAZInternal Medicine Physician$97.9K$0
    Tammy DavisonAZRegistered Dietitian$13.9K$83.2K

    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. Arizona Distribution
    Robert Cole — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona