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    OpenPayerNPI Medicare & MedicaidJohn Culclasure
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    John Culclasure — Billing Profile & Reimbursement Data

    NPI 1164402392 · Antioch, TN · Pain Medicine (Anesthesiology) Physician

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    John Culclasure is a pain medicine (anesthesiology) physician provider located in Antioch, Tennessee. This profile covers 8 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Culclasure
    Address5811 Crossings Blvd
    CityAntioch
    StateTN
    ZIP37013
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$24.2K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…90$70$6.5K
    62290The provider performs this diagnostic procedure, called discography, by injecting contrast into the nucleus pulposus, or gel like center of a spinal disc, to examine and better visualize the…30$180$5.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$190$3.5K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…30$90$2.8K
    72295In this procedure, the provider performs imaging supervision and interpretation for a discogram, a study of the cartilaginous disc between two vertebrae. The provider performs an injection of…30$80$2.4K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$90$2.3K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…20$80$1.2K
    Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml70$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448312515070$190$25.8K
    6463513315040$360$25.6K
    6449312716060$180$16.9K
    623235215050$150$14.8K
    623218010030$160$7.5K
    6229021050$160$7.3K
    7229511030$80$2.1K
    Q996651501,090$1$860

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0014Alcohol and/or drug services; ambulatory detoxification900$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0014Alcohol and/or drug services; ambulatory detoxification2780250$250$405.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metropolitan Government Of Nashville & Davidson CountyTNAmbulance$3.4M$32M
    Urgent Care Enterprise LLCTNUrgent Care Clinic/Center$0$11.6M
    Mighty Hearts Home Care IncTNIn Home Supportive Care Agency$0$7.6M
    Tennessee Pain Surgery Center, LLCTNAmbulatory Surgical Clinic/Center$669.9K$4.5M
    Pain Management Group, P.C.TNInterventional Pain Medicine Physician$0$4.2M
    Eyecare Plus Hh, PLLCTNOptometrist$0$3.5M
    Prudent Health Services Inc.TNHome Health Agency$0$3.2M
    Savina KimbroughTNFamily Nurse Practitioner$94.6K$0
    John WelkerTNInterventional Pain Medicine Physician$77.3K$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
    John Culclasure — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    John Culclasure — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee