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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Provenza
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    John Provenza — Billing Profile & Reimbursement Data

    NPI 1225028434 · Shreveport, LA · Gastroenterology Physician

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    John Provenza is a gastroenterology physician provider located in Shreveport, Louisiana. This profile covers 27 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
    OrganizationJohn Provenza
    Address8383 Millicent Way Ste B
    CityShreveport
    StateLA
    ZIP71115
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 27, 2005

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

    Payer SourceTotal Paid
    Medicare$159.8K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…120$200$24.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.270$80$21.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…150$110$16.5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk70$180$13K
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.20$540$10.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk60$180$9.8K
    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…100$80$8K
    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…130$50$6.3K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$130$5K
    99439The 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…140$40$4.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854823060$270$27.5K
    992143,4926,670110$80$16.5K
    99487234040$90$15.8K
    99490255390190$40$13.5K
    992321,9042,58090$60$13.3K
    432391425060$120$12.4K
    G01051615030$260$12.2K
    453802222040$170$11.6K
    43450106060$130$10K
    994574390100$30$8.8K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capitol City Family Health Center IncorporatedLAFederally Qualified Health Center (FQHC)$0$21.6M
    Christus Health Northern LouisianaLAGeneral Acute Care Hospital$0$12.6M
    Jack SauxLAHematology & Oncology Physician$2.8M$0
    Manish DhawanLAHematology & Oncology Physician$870.9K$24.3K
    Ryan GonzalesINHematology & Oncology Physician$675.2K$0
    David DiesLATransplant Hepatology Physician$633.7K$0
    Stephen SimpsonLACardiovascular Disease Physician$615.8K$0
    Genevieve MarongeLAInternal Medicine Physician$590.6K$0
    Ryan TompkinsFLDiagnostic Radiology Physician$496.4K$0
    Benjamin YanWVRadiation Oncology Physician$366K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allan Matriano LimLAInternal Medicine Physician$556.5K$13.8K
    Wen LiuLAInternal Medicine Physician$443.4K$0
    Guillermo PadillaLAInfectious Disease Physician$248.5K$0
    Hector Brunet RodriguezLAInfectious Disease Physician$243.6K$0
    Venerando Del MundoLAInternal Medicine Physician$237K$1K
    Scott McrightLAInternal Medicine Physician$228.6K$0
    Jenna VanLAFamily Nurse Practitioner$226.7K$0
    Charles PattonLAFamily Medicine Physician$210.5K$0
    Sathya JaganmohanLAGastroenterology Physician$205K$0
    Sally BallLAInternal Medicine Physician$194.8K$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. Louisiana Distribution
    John Provenza — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana