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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Phillips
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    Justin Phillips — Billing Profile & Reimbursement Data

    NPI 1205150083 · Louisville, KY · Neurology Physician

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    Justin Phillips is a neurology physician provider located in Louisville, Kentucky. This profile covers 15 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
    OrganizationJustin Phillips
    Address4950 Norton Healthcare Blvd
    CityLouisville
    StateKY
    ZIP40241
    TaxonomyNeurology Physician
    NPI EnumeratedMarch 23, 2010

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

    Payer SourceTotal Paid
    Medicare$108K
    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.

    15 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…330$80$26.2K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…130$180$22.8K
    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…170$130$20.9K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…120$110$13K
    99204The provider sees a new 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 provider…50$110$5.2K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.30$120$3.8K
    64642The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.60$60$3.5K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.30$90$2.7K
    11105The provider biopsies an additional or separate skin lesion after the first using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin…60$40$2.6K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…170$10$2.3K

    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
    992141,2747,230110$70$14.1K
    6461611050$110$6.5K
    99215871,44030$110$6.3K
    9948311020$180$6.3K
    992041,0953,20030$100$4.8K
    6461251030$120$4.6K
    6464211040$80$3K
    111043310020$70$2.7K
    9598461060$30$2K
    6461111030$70$2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kentucky Medical Services Foundation, IncKYInternal Medicine Physician$0$110.4M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Kentucky Medical Services FoundationKYNurse Practitioner$0$12.5M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Matthew ColeTNOphthalmology Physician$3.3M$0
    North Fork Valley Community Health Board, Inc.KYFamily Medicine Physician$0$3.2M
    Kentucky Medical Services FoundationKYClinical Pathology/Laboratory Medicine Physician$0$3M
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Patricia HansenKYInternal Medicine Physician$2.6M$0
    Shivani ReddyINOphthalmology Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Norton Childrens Medical Group, LLCKYPediatrics Physician$0$107.3M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Motc - Louisville LLCKYProsthetic/Orthotic Supplier$0$5.4M
    Gml Pain Md PscKYDurable Medical Equipment & Medical Supplies$0$3.9M
    Jacob YunkerKYOphthalmology Physician$3.8M$0
    Thomas HarperKYOphthalmology Physician$3.3M$0
    Aspire Case Management LLCKYCase Management Agency$0$3.2M
    Victor NeamtuKYOphthalmology Physician$1.5M$980
    Michael MccallKYDermatology Physician$938.6K$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. Kentucky Distribution
    Justin Phillips — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky