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    OpenPayerNPI Medicare & MedicaidJustin Tanner
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    Justin Tanner — Billing Profile & Reimbursement Data

    NPI 1245436658 · Montrose, CO · Internal Medicine Physician

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    Justin Tanner is a internal medicine physician provider located in Montrose, Colorado. This profile covers 9 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 Tanner
    Address3330 S Rio Grande Ave
    CityMontrose
    StateCO
    ZIP81401
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 22, 2007

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

    Payer SourceTotal Paid
    Medicare$59.7K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$140$21.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…150$100$13.8K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…100$90$9.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$170$4.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.370$10$2.2K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$60$1.8K
    93272In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can…90$20$1.7K
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…50$10$630

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992335341,89070$90$11K
    992918631,23040$170$9.8K
    99223891,90030$130$6.7K
    992328512,34050$60$6.5K
    9923921595050$90$5.6K
    9923813143020$60$1.9K
    93010119800110$10$1.4K
    9327224020$20$520
    9322735020$10$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cedar Point Health LLCCOInternal Medicine Physician$0$5.6M
    Montrose Memorial Hospital, IncCOEmergency Medicine Physician$0$4.8M
    Montrose Memorial Hospital, IncCOGeneral Acute Care Hospital$0$4.2M
    Christopher JordanCOHematology & Oncology Physician$970.8K$0
    Jessica HellyerPAMedical Oncology Physician$917.2K$0
    Barry BerkowitzTXDiagnostic Radiology Physician$329.7K$0
    Justin LohmeierMSDiagnostic Radiology Physician$311.3K$0
    Akshat PaliwalNHDiagnostic Radiology Physician$309.2K$0
    Crysela SmithTXDiagnostic Radiology Physician$249.7K$0
    Craig PetersonCOUrology Physician$248.2K$30

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Toc, IncCOHome Health Agency$0$17M
    Community Options, Inc.CODevelopmentally Disabled Services Day Training Agency$0$15.1M
    Pediatric Associates Prof LLCCOPediatrics Physician$0$7M
    Olathe Community Clinic Inc.COFederally Qualified Health Center (FQHC)$0$6.6M
    Smiles4kidsCODentist$0$4.1M
    Community Options, Inc.CODevelopmentally Disabled Services Day Training Agency$0$3.8M
    Treasured Teeth PCCOPediatric Dentistry$0$3.7M
    Montrose Rural Fire Protection District No 1COLand Ambulance$426.9K$964.3K
    Black Canyon Surgical Center, LLCCOAmbulatory Surgical Clinic/Center$651.5K$112.3K
    Dane StewartCOOphthalmology Physician$641.7K$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. Colorado Distribution
    Justin Tanner — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado