Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Cotton
    Ask Trek AI about this page

    John Cotton — Billing Profile & Reimbursement Data

    NPI 1104987114 · Panama City, FL · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for John Cotton — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    John Cotton is a orthopaedic surgery physician provider located in Panama City, Florida. This profile covers 22 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Cotton
    Address1827 Harrison Ave
    CityPanama City
    StateFL
    ZIP32405
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 13, 2006

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

    Payer SourceTotal Paid
    Medicare$130.3K
    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.

    22 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…270$100$25.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…30$610$16.4K
    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…250$60$15.7K
    23412In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…30$350$8.7K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…60$130$8.4K
    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…180$40$8.1K
    23406In this procedure, the provider performs a multiple tenotomy in the shoulder area in which he incises or divides multiple tendons through the same incision in the skin. The provider performs this…30$300$7.8K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.40$140$6.3K
    29879The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by reshaping the articular cartilage covering its ball and socket, grinding its surface and in some cases…10$500$5.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$140$5.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,61132,760140$90$25K
    23412103020$890$24.1K
    29828127020$910$18.2K
    2340611020$790$15K
    29879233020$480$12.9K
    992136,76330,01080$60$12K
    992154,4838,55040$130$10.7K
    7372132366040$120$10.6K
    7322118253040$120$9.1K
    298243512020$350$9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcgregor LottFLOphthalmology Physician$1.8M$0
    Frederick ShulerFLSpecialist$740.5K$0
    Thomas SealesFLAdult Reconstructive Orthopaedic Surgery Physician$631.2K$0
    Jason BooleFLOtolaryngology Physician$616K$0
    Brandon CookFLOrthopaedic Surgery Physician$572.7K$0
    Mark TenholderFLOrthopaedic Surgery Physician$555.3K$0
    Joshua HackelFLSports Medicine (Family Medicine) Physician$526.8K$0
    Dale LandryFLOrthopaedic Surgery Physician$493.4K$0
    Rajesh ShettyFLOphthalmology Physician$493.4K$0
    John RedmondFLAdult Reconstructive Orthopaedic Surgery Physician$459.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Hospital, IncFLGeneral Acute Care Hospital$0$19.3M
    Panama City Surgery Center,llcFLAmbulatory Surgical Clinic/Center$1.8M$14.8M
    Panhandle Pediatric Dentistry, PLLCFLPediatric Dentistry$0$14.7M
    The Surgical Center For Excellence, LllpFLAmbulatory Surgical Clinic/Center$18.8K$11.7M
    Rainbow Pediatrics PC LLCFLPediatrics Physician$0$8.3M
    Emerald Coast Pediatrics & AdolescentsFLPediatrics Physician$0$8M
    Life Management Center Of Nw Fl, Inc.FLPsychiatry Physician$0$7.9M
    Hospice Of The Emerald Coast, Inc.FLCommunity Based Hospice Care Agency$0$7.5M
    Amir AghaFLRheumatology Physician$3.6M$0
    Jon WardFLMOHS-Micrographic Surgery Physician$2.1M$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. Florida Distribution
    John Cotton — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida