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

    NPI 1265444368 · Topeka, KS · Rheumatology Physician

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    John Gardner is a rheumatology physician provider located in Topeka, Kansas. 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 Gardner
    Address901 Sw Garfield Ave
    CityTopeka
    StateKS
    ZIP66606
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$123.6K
    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
    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…800$60$44.9K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…840$40$29.4K
    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…260$90$21.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.710$10$5.7K
    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…50$110$5.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…60$80$4.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$50$3.7K
    G0008Administration of influenza virus vaccine70$30$1.9K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…10$130$1.7K
    73120X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,…50$20$1K

    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
    992141,2564,310120$70$16.4K
    992131114,33090$50$8.7K
    9069428866050$70$6.7K
    36415941,090150$10$6.3K
    992047401,93040$100$6K
    2061022858050$40$4.4K
    G00086371,32060$30$3.1K
    77080734050$20$2.3K
    90732254020$130$2.1K
    992128191,05030$30$2.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Via Christi Hospital Manhattan, Inc.KSGeneral Acute Care Hospital$0$1.3M
    Priyantha RanaweeraKSInterventional Cardiology Physician$900.7K$0
    Ibrahim RaphaelKSPulmonary Disease Physician$292.3K$0
    Ahmed ElebiaryVAInternal Medicine Physician$213.5K$0
    Kelcie StreckerKSPhysician Assistant$205.7K$0
    Sandra KillingsworthKSInternal Medicine Physician$203K$0
    Debra DoubekKSFamily Medicine Physician$196.4K$0
    William FreundKSInterventional Cardiology Physician$189.9K$0
    Avinash SinghKSPulmonary Disease Physician$129.1K$0
    Casey PoellKSInternal Medicine Physician$103.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Service And Guidance Center Of Topeka, Inc.KSMental Health Clinic/Center (Including Community Mental Health Center)$0$44.9M
    Astra Mental Health And Recovery, Inc.KSMental Health Clinic/Center (Including Community Mental Health Center)$0$35.9M
    Cotton-o'neil Clinic Revocable TrustKSInternal Medicine Physician$0$21.7M
    Family Service And Guidance Center Of Topeka, Inc.KSCommunity/Behavioral Health Agency$0$17.6M
    Astra Mental Health And Recovery, Inc.KSCommunity/Behavioral Health Agency$0$11.2M
    Cotton-o'neil Clinic Revocable TrustKSClinical Medical Laboratory$3.6M$6.8M
    Midland Care Connection, Inc.KSCommunity Based Hospice Care Agency$0$4.3M
    Topeka Hospital, LLCKSGeneral Acute Care Hospital$0$3.9M
    Partners In Pediatrics PAKSPediatric Adolescent Medicine Physician$0$3.7M
    Pediatric Associates Of Topeka, P.A.KSPediatrics Physician$0$3.5M

    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. Kansas Distribution
    John Gardner — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas