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    OpenPayerNPI Medicare & MedicaidJoseph Hutchison
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    Joseph Hutchison — Billing Profile & Reimbursement Data

    NPI 1215989942 · Lynchburg, VA · Otolaryngology Physician

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    Joseph Hutchison is a otolaryngology physician provider located in Lynchburg, Virginia. This profile covers 22 Medicare and 3 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
    OrganizationJoseph Hutchison
    Address2321 Atherholt Rd
    CityLynchburg
    StateVA
    ZIP24501
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 17, 2006

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

    Payer SourceTotal Paid
    Medicare$221.8K
    Medicaid$6.8K

    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.

    22 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…550$100$54.5K
    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…580$60$34.8K
    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…240$130$30.1K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.2,210$10$24.3K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.440$30$14.9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.110$100$10.7K
    99203The provider sees a new 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 provider…140$70$10K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.540$10$4.9K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.30$180$4.6K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing110$40$4.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516533130840$10$22K
    992141,67212,890140$80$21K
    17000480580210$40$12.4K
    9921362612,44090$60$10K
    3123110917040$130$9.8K
    315753221050$90$6.1K
    99204996,85040$110$5.9K
    9511759170300$10$5.7K
    17003394510740$1$5.5K
    7701131020$200$5.5K

    Showing 1–10 of 22

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…80$50$3.5K
    99203The provider sees a new 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 provider…40$80$3.2K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.20$10$130

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9054,010290$50$199.8K
    99203The provider sees a new 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 provider…6881,000100$70$81.1K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.7890180$10$13.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sacred Heart Health System, Inc.FLGeneral Acute Care Hospital$0$38.5M
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$15.6M
    Sacred Heart Health System, Inc.FLFamily Medicine Physician$0$12.3M
    Aspirus Riverview Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.9M
    Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.2M
    Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St FrancisWIGeneral Acute Care Hospital$0$5.7M
    Aspirus Stanley Hospital & Clinics, Inc.WICritical Access Hospital$0$4.8M
    Deepak SambharaWIOphthalmology Physician$4.3M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Family Services Of Virginia, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$194.3M
    Horizon Behavioral HealthVACommunity/Behavioral Health Agency$0$138.1M
    Brightview LLCVASubstance Use Disorder Rehabilitation Clinic/Center$0$32M
    Centra Health IncVAGeneral Acute Care Hospital$0$18.5M
    Virginia Treatment Center, LLCVAMethadone Clinic$116.5K$15.9M
    Robert BrennanVAInfectious Disease Physician$15.9M$0
    Cabaniss Consultants LLCVADevelopmentally Disabled Services Day Training Agency$0$10.9M
    Sense Of Security Care, Inc.VAHome Health Aide$0$9.2M
    Surgery Center Of Lynchburg LLCVAAmbulatory Surgical Clinic/Center$4M$799.8K
    Landon CollingVAOphthalmology Physician$2.8M$190

    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
    Joseph Hutchison — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Joseph Hutchison — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia