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    OpenPayerNPI Medicare & MedicaidJohn Hirsch
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    John Hirsch — Billing Profile & Reimbursement Data

    NPI 1255652962 · Lubbock, TX · Interventional Pain Medicine Physician

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    John Hirsch is a interventional pain medicine physician provider located in Lubbock, Texas. This profile covers 28 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 Hirsch
    Address3419 22nd St
    CityLubbock
    StateTX
    ZIP79410
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedJune 16, 2010

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

    Payer SourceTotal Paid
    Medicare$193K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22514The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…10$4,380$52.6K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).280$130$35.4K
    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…120$120$14.6K
    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$13.7K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…80$100$7.7K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…150$50$7.6K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.30$240$7.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$210$6.7K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…30$200$6.2K
    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…80$80$6K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6365013516050$1,960$147K
    G0482163200150$190$54K
    22514284010$1,850$29.6K
    80307404460170$60$23.7K
    6463528854040$370$19.1K
    644834469060$190$18.3K
    9921412,88732,500110$80$17.6K
    6463315821030$390$12.8K
    6449323264050$180$12.3K
    9921315,18329,79070$60$8.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blake SuttonTXInterventional Pain Medicine Physician$454.2K$0
    Kristian DelgadoTXInterventional Pain Medicine Physician$382.5K$0
    Shannon GarittyTXInterventional Pain Medicine Physician$334.9K$0
    Shiraz YazdaniTXPain Medicine (Anesthesiology) Physician$321.2K$0
    Bolkar SahinlerTXInterventional Pain Medicine Physician$310.2K$0
    Jay LeeCAInterventional Pain Medicine Physician$205.8K$0
    Ethan DalleyTXPain Medicine (Physical Medicine & Rehabilitation) Physician$204.7K$0
    Jeremy JonesTXPain Medicine (Physical Medicine & Rehabilitation) Physician$156.2K$0
    Shawn PuriTXInterventional Pain Medicine Physician$85.8K$0
    Jodi ZuberTXCertified Registered Nurse Anesthetist$26.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Covenant Medical GroupTXFamily Medicine Physician$0$34.3M
    Methodist Children's HospitalTXChildren's Hospital$0$12.7M
    Joseph WolcottTXUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$3.1M$0
    Lubbock Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$2.9M$6.9K
    Jesus HidalgoTXSurgery Physician$2.3M$0
    Brent PaulgerTXDermatology Physician$758.8K$0
    Juan KurdiTXInterventional Cardiology Physician$739.1K$0
    Richard HopeTXDermatology Physician$697.8K$0
    South Plains Endoscopy CenterTXEndoscopy Clinic/Center$679K$0
    Ayman KarkoutlyTXCardiovascular Disease Physician$660.2K$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.

    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. Texas Distribution
    John Hirsch — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas