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    John Hart — Billing Profile & Reimbursement Data

    NPI 1174503619 · Mt Pleasant, IA · Podiatrist

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    John Hart is a podiatrist provider located in Mt Pleasant, Iowa. This profile covers 15 Medicare and 5 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 Hart
    Address209 S White St
    CityMt Pleasant
    StateIA
    ZIP52641
    TaxonomyPodiatrist
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$140.8K
    Medicaid$35.7K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,570$30$42.4K
    Q4196Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)420$80$34.9K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…150$120$17.5K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.220$50$11.3K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.240$40$10.6K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…150$50$6.7K
    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,…170$40$6.5K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.30$110$3.1K
    28010In this procedure, the provider performs a percutaneous tenotomy in which he incises or divides a single tendon in a toe through a small incision in the skin to correct a deformity like hammer toe.20$160$3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…40$40$1.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4196110420$80$35K
    1172117160480$30$17.5K
    110562290120$50$7.9K
    9930816829050$50$6.6K
    1527511050$100$6K
    1105579060$40$4.2K
    11720647080$20$4K
    992031,1281,60030$60$3.2K
    11750276030$100$3.1K
    2801021020$130$2.3K

    Showing 1–10 of 15

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.3,310$10$33.1K
    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,…160$20$2.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…50$10$350
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…20$10$180
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.20$1$20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.18110660$10$18.9K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…16620080$30$9.5K
    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,…214440150$10$7.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…97140130$10$4.4K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.61020$1$540

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Insight Partnership GroupIACommunity/Behavioral Health Agency$0$20.6M
    Henry County Health Center, Inc.IARural Health Clinic/Center$0$2.8M
    Henry County Soldiers' And Sailors' Memorial HospitalIALand Ambulance$470.9K$1.6M
    Henry County Health Center, Inc.IACritical Access Hospital$0$2M
    Family Medicine Of Mt. Pleasant, P.C.IAFamily Medicine Physician$0$1.8M
    Henry County Soldiers' And Sailors' Memorial HospitalIARural Health Clinic/Center$0$1.7M
    Davis Radiology, P.C.IADiagnostic Radiology Physician$0$1.5M
    Henry County Soldiers' And Sailors' Memorial HospitalIACritical Access Hospital$0$1.5M
    Qv Urgent Care Ia PLLCIAUrgent Care Clinic/Center$0$1.4M
    Reed BoucheyIAOphthalmology Physician$552K$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. Iowa Distribution
    John Hart — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    John Hart — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa