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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCalvin Newton
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    Calvin Newton — Billing Profile & Reimbursement Data

    NPI 1205857653 · Midlothian, VA · Cardiovascular Disease Physician

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    Calvin Newton is a cardiovascular disease physician provider located in Midlothian, Virginia. This profile covers 29 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
    OrganizationCalvin Newton
    Address6120 Harbourside Centre Loop
    CityMidlothian
    StateVA
    ZIP23112
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$516.3K
    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.

    29 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…1,310$90$120.5K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…60$1,350$86.6K
    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…1,620$50$76.3K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.1,200$40$44.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…270$120$33K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…40$860$32.8K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…500$40$19K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…110$150$16.3K
    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$11.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…100$90$9.6K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3648272050$1,350$93.5K
    36475123030$820$39.5K
    93306313580300$80$26.2K
    9921418712,890140$80$21K
    9949019510130$50$15.5K
    992333,1553,29080$90$13.7K
    994549210220$40$13.6K
    992321,6304,46080$60$11K
    9945728220220$40$10.3K
    992239013,66040$130$9.2K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chippenham & Johnston-willis Hospitals IncVAGeneral Acute Care Hospital$0$103.7M
    Bon Secours St Francis Medical Center LLCVAGeneral Acute Care Hospital$0$44.9M
    Virginia Cardiovascular SpecialistsVAAmbulatory Surgical Clinic/Center$1.9M$0
    Mitesh AminVACardiovascular Disease Physician$921.2K$2K
    Shaival KapadiaVACardiovascular Disease Physician$781.5K$0
    Saumil ShahVAClinical Cardiac Electrophysiology Physician$766.6K$0
    Dean CavenVACardiovascular Disease Physician$762K$0
    Ashwani KumarVAInterventional Cardiology Physician$675.7K$0
    Mark JohnsVACardiovascular Disease Physician$644.8K$90
    Sameer RohatgiVAInterventional Cardiology Physician$598K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rcg State Government Services, LLCVACommunity/Behavioral Health Agency$0$16.2M
    A Walk Through Life Mhss, LLCVACommunity/Behavioral Health Agency$0$10.2M
    L&r Of ChesterfieldVADevelopmentally Disabled Services Day Training Agency$0$9.8M
    Children's Dentistry Of Virginia, PCVADental Clinic/Center$0$9.7M
    Mare TransportationVANon-emergency Medical Transport (VAN)$0$7.6M
    Counseling And Advocacy Assc.VACommunity/Behavioral Health Agency$0$7.1M
    Virginia Medical & Therapeutic ServicesVAClinical Social Worker$0$6.6M
    Counseling And Advocacy Assc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.1M
    Richmond City Taxi Cab,incVANon-emergency Medical Transport (VAN)$0$5.7M
    Katherine PriceVAPulmonary Disease Physician$780.4K$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. Virginia Distribution
    Calvin Newton — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia