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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Mansfield
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    Mark Mansfield — Billing Profile & Reimbursement Data

    NPI 1134113251 · Pocatello, ID · Family Medicine Physician

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    Mark Mansfield is a family medicine physician provider located in Pocatello, Idaho. This profile covers 14 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
    OrganizationMark Mansfield
    Address110 Vista Dr
    CityPocatello
    StateID
    ZIP83201
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 2, 2005

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

    Payer SourceTotal Paid
    Medicare$134.6K
    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.

    14 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…650$70$48K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit220$120$26.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…640$40$25.5K
    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…180$110$20K
    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…160$50$8.5K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…20$130$2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…160$10$1.5K
    G0444Annual depression screening, 5 to 15 minutes120$10$980
    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…20$60$940
    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…20$20$360

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90732111050$130$14.8K
    99214682,69090$70$10.4K
    G04392353060$110$8.9K
    9949079090$40$8.1K
    992156281040$100$6.5K
    992136352,77070$50$5.7K
    992037901,03030$60$2.5K
    3641540049070$10$1.3K
    G04442210050$20$1.1K
    7104619523050$10$1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmh Inc.IDRural Health Clinic/Center$0$5.8M
    Ananda WalaliyaddaIDSpecialist$3.9M$0
    Bmh IncIDCritical Access Hospital$0$3.5M
    Pocatello Health Services, LLCIDGeneral Acute Care Hospital$0$3.1M
    Bmh IncIDRural Health Clinic/Center$0$2.6M
    Bmh, Inc.IDSurgery Physician$0$2.3M
    Bmh, Inc.IDFamily Medicine Physician$0$864.1K
    Bmh, Inc.IDSports Medicine (Family Medicine) Physician$0$765.1K
    Bmh IncIDFamily Medicine Physician$0$546.8K
    William NibleyUTMedical Oncology Physician$166K$326K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moonlight Mountain Recovery, IncIDSubstance Abuse Rehabilitation Facility$0$17.7M
    Pocatello Children & Adolescent ClinicIDPediatrics Physician$0$11M
    Speech Therapy Services, LLCIDSpeech-Language Pathologist$0$8.5M
    Pocatello Chubbuck School District #25IDLocal Education Agency (LEA)$0$7.9M
    Facial & Oral Surgery Associates, Inc.IDOral and Maxillofacial Surgery (Dentist)$0$6.3M
    Health West, Inc.IDFederally Qualified Health Center (FQHC)$0$6.2M
    Pocatello Hospital LLCIDGeneral Acute Care Hospital$0$6.1M
    Health West, Inc.IDFederally Qualified Health Center (FQHC)$0$5.9M
    Rocky Mountain Physician Group LLCIDEmergency Medicine Physician$0$5.5M
    Community Mental HealthIDCommunity/Behavioral Health Agency$0$4.3M

    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. Idaho Distribution
    Mark Mansfield — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho