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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLance Patton
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    Lance Patton — Billing Profile & Reimbursement Data

    NPI 1104822816 · Jefferson City, TN · Internal Medicine Physician

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    Lance Patton is a internal medicine physician provider located in Jefferson City, Tennessee. This profile covers 48 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
    OrganizationLance Patton
    Address120 Hospital Dr
    CityJefferson City
    StateTN
    ZIP37760
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicare$190.1K
    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.

    48 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…550$80$42.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$120$18.4K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$280$17K
    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…260$60$15.5K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.20$440$10.2K
    90746This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule.140$70$9.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…120$80$9.2K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$250$7.6K
    G0010Administration of hepatitis b vaccine150$30$4.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.330$10$4.3K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,09011,370120$80$16.6K
    95811709050$230$14.4K
    958106310040$210$11.7K
    G04395482,65070$110$11.2K
    9132042966050$130$10.8K
    87389510110$20$8.2K
    992131,78611,03080$50$8K
    906771001,34020$280$7.9K
    9074621050$70$7.1K
    992043,2115,49030$100$5.3K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Medical Group, PLLCTNInternal Medicine Physician$0$44.5M
    Knoxville Pediatric Associates, P.C.TNPediatrics Physician$0$6.1M
    Michael WattersonNCRheumatology Physician$669.3K$2.6K
    Nila AlsheikILDiagnostic Radiology Physician$332.8K$300.3K
    Jeffrey SummersTNInternal Medicine Physician$624.1K$0
    David SzczesniakOHDiagnostic Radiology Physician$588.2K$0
    Joshua KellermanNJDiagnostic Radiology Physician$525K$0
    Matthew LowranceTNRetina Specialist (Ophthalmology) Physician$502.4K$0
    John D'souzaOHDiagnostic Radiology Physician$470.9K$0
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jefferson County Hma LLCTNGeneral Acute Care Hospital$0$14.3M
    Priority Senior Care LLCTNIn Home Supportive Care Agency$0$4.6M
    People2placesTNNon-emergency Medical Transport (VAN)$0$2.1M
    Pragnesh PatelTNInterventional Cardiology Physician$371.9K$537.3K
    Adam ShrewsberryTNUrology Physician$476.7K$0
    Jenna FrostTNPsychiatric/Mental Health Nurse Practitioner$217.2K$0
    Milagros PaciaTNPhysical Therapist$193.3K$0
    Fiorello Erico PaciaTNPhysical Therapist$185.6K$0
    Clyde WorleyTNInternal Medicine Physician$137.1K$0
    Aqueel KouserTNRheumatology Physician$94.3K$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. Tennessee Distribution
    Lance Patton — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee