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    OpenPayerNPI Medicare & MedicaidColin Poole
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    Colin Poole — Billing Profile & Reimbursement Data

    NPI 1215948104 · Boise, ID · Adult Reconstructive Orthopaedic Surgery Physician

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    Colin Poole is a adult reconstructive orthopaedic surgery physician provider located in Boise, Idaho. This profile covers 13 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
    OrganizationColin Poole
    Address600 N Robbins Rd
    CityBoise
    StateID
    ZIP83702
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicare$180.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…100$910$90.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…50$920$46.8K
    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…160$90$13.8K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…120$100$12.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…90$60$5.6K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.140$30$4.1K
    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…20$120$2.3K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…60$30$1.8K
    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…10$100$1.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$740

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447411030$640$25.1K
    27130108030$510$16.5K
    992148072,69090$70$10.4K
    9921560181040$100$6.5K
    992131,1372,77070$50$5.7K
    2098533040$100$5.3K
    992041,0561,18030$100$4.2K
    2061020726040$40$2.3K
    735027820040$10$920
    735621216040$10$760

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$59.2M
    St Luke's Clinic LLCIDFamily Medicine Physician$0$39.5M
    St Lukes Regional Medical CenterIDGeneral Acute Care Hospital$0$25.1M
    St Lukes Clinic-treasure Valley LLCIDFamily Medicine Physician$0$6.9M
    St Lukes Clinic-treasure Valley LLCORRural Health Clinic/Center$0$2.1M
    St Luke's Regional Medical CenterIDHome Health Agency$0$1.6M
    Peter CastellanosIDNeurology with Special Qualifications in Child Neurology Physician$0$599.5K
    David McnaulMODiagnostic Radiology Physician$269.4K$0
    Benjamin BridgesMDHematology & Oncology Physician$248.9K$0
    Sarah BolenderIDRadiation Oncology Physician$245.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Behavioral Health ServicesIDCommunity/Behavioral Health Agency$0$16M
    Boise Radiology Group PLLCIDDiagnostic Radiology Physician$0$5M
    Perma Mental Health PLLCIDPsychiatry Physician$0$3.1M
    Access Behavioral Health ServicesIDDevelopmentally Disabled Services Day Training Agency$0$2.8M
    Boise Endoscopy Center LLCIDAmbulatory Surgical Clinic/Center$362.9K$1.8M
    Access Behavioral Health Services, IncIDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.9M
    Future Public School, Inc.IDLocal Education Agency (LEA)$0$1.8M
    Tomorrow's Hope Statellite ServicesIDDevelopmentally Disabled Services Day Training Agency$0$1.1M
    Carl OdomIDDiagnostic Radiology Physician$1.1M$0
    Pain Center IncIDPain Clinic/Center$0$803.8K

    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. Idaho Distribution
    Colin Poole — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho