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

    NPI 1245464148 · Lexington, KY · Cardiovascular Disease Physician

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    John Kotter is a cardiovascular disease physician provider located in Lexington, Kentucky. This profile covers 15 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 Kotter
    AddressGill Heart Institute 800 Rose St
    CityLexington
    StateKY
    ZIP40536
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 6, 2009

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

    Payer SourceTotal Paid
    Medicare$32.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…330$50$16.4K
    93355The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…20$160$3.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.9K
    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…20$90$1.7K
    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…30$60$1.5K
    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…30$60$1.5K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$60$1.4K
    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…10$90$1.2K
    93308The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…50$20$930
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…40$20$560

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306107330240$60$16K
    992146,1317,230110$70$14.1K
    992322,4692,860100$60$11.6K
    7845220523070$90$7.7K
    992397961,01050$80$7.1K
    992151,3011,44030$110$6.3K
    992221,4602,07030$90$4.5K
    9335561020$160$4.2K
    93010548890120$10$1.9K
    930168717040$10$960

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harrison Memorial HospitalKYGeneral Acute Care Hospital$0$34.7M
    Harrison Memorial Hospital IncKYMulti-Specialty Clinic/Center$0$4.5M
    Stephen BessonKYAdolescent Medicine (Internal Medicine) Physician$141.5K$0
    Dwight LewisKYInternal Medicine Physician$61.8K$76.7K
    Ryan HubbardVAFamily Medicine Physician$119.5K$0
    Matthew ShotwellKYInterventional Cardiology Physician$109.3K$0
    Laura FaughnKYFamily Medicine Physician$109K$0
    Vedant GuptaKYCardiovascular Disease Physician$83.6K$0
    Timothy AdkinsKYUrology Physician$70K$0
    Brian MulberryKYFamily Medicine Physician$58.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    John Kotter — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky