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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKristofer Mitchell
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    Kristofer Mitchell — Billing Profile & Reimbursement Data

    NPI 1205040664 · Springfield, IL · Surgery Physician

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    Kristofer Mitchell is a surgery physician provider located in Springfield, Illinois. This profile covers 9 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
    OrganizationKristofer Mitchell
    Address800 N 1st St
    CitySpringfield
    StateIL
    ZIP62702
    TaxonomySurgery Physician
    NPI EnumeratedMay 9, 2007

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

    Payer SourceTotal Paid
    Medicare$95.9K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…40$720$25.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…150$160$23.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…230$60$14.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$130$11.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$90$7.5K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…60$90$5.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$3.1K
    22585The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging,…20$180$2.9K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…40$60$2.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992333,2485,990100$100$18.7K
    992913952,94050$170$13.4K
    2255832020$580$12.8K
    992321,9697,96090$60$12.4K
    992231,6746,19050$140$10.4K
    992391,4492,61070$90$8.4K
    992222,8095,73030$100$5.3K
    2258511010$210$3K
    992386351,75030$60$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan WiesenVAInternal Medicine Physician$2.4M$0
    Pawanjit SarnaVAPulmonary Disease Physician$848K$0
    John SentzVAPulmonary Disease Physician$766.1K$0
    Drew JonesVAPulmonary Disease Physician$757.3K$0
    Cecilia BerghVAPulmonary Disease Physician$542.8K$0
    Davis MellickGAMedical Physician Assistant$0$539.3K
    Kenneth HaftVAPulmonary Disease Physician$498.9K$0
    Muhammad AtharVAPulmonary Disease Physician$472.9K$0
    Abbas OmaisMDPulmonary Disease Physician$454.3K$9K
    Anil GogineniFLPulmonary Disease Physician$428.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Centers Of Central IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$38.4M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$25.7M
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Advanced Medical Transport Of Springfield IncILAmbulance$879.6K$8.4M
    Memorial Home Services Of Central Illinois, IncILDurable Medical Equipment & Medical Supplies$0$8.9M
    Lifestar Ambulance Service, Inc.ILAmbulance$249.2K$5.6M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$4.5M
    Timothy GillisonILHematology & Oncology Physician$1.7M$54.1K
    Scott MinkILHematology & Oncology Physician$1.6M$60.3K
    Amit GuptaILHematology & Oncology Physician$1.5M$9.4K

    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. Illinois Distribution
    Kristofer Mitchell — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois