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

    NPI 1265790182 · Dalton, GA · Physical Medicine & Rehabilitation Physician

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    Justin Hare is a physical medicine & rehabilitation physician provider located in Dalton, Georgia. This profile covers 30 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJustin Hare
    Address1525 Chattanooga Rd
    CityDalton
    StateGA
    ZIP30720
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 28, 2012

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

    Payer SourceTotal Paid
    Medicare$260.5K
    Medicaid$2.6K

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…500$80$42K
    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…690$60$41.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.120$200$23.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…260$70$17.7K
    27279The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…20$640$13.5K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…150$90$13.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…200$70$13.5K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.40$240$10K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…110$80$8.5K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…130$60$7.9K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2727921020$4,070$85.5K
    63650165040$1,890$81.4K
    646354227050$380$27.7K
    6448322436070$200$23.7K
    992141,54913,640120$80$17.8K
    644934532060$190$16.8K
    646331913030$400$13.9K
    644905518040$200$9.9K
    62323328040$150$9.3K
    9921343313,36080$60$9.2K

    Showing 1–10 of 30

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…10$50$660
    H0001Alcohol and/or drug assessment10$40$520
    H0002Behavioral health screening to determine eligibility for admission to treatment program10$40$520
    T1007Alcohol and/or substance abuse services, treatment plan development and/or modification10$40$520
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…20$10$200
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.20$10$170
    90863The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…287290240$70$69.3K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…3740260$1$5.1K
    H0002Behavioral health screening to determine eligibility for admission to treatment program41060$50$3.4K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.7790210$1$2.9K
    H0001Alcohol and/or drug assessment11010$40$520
    T1007Alcohol and/or substance abuse services, treatment plan development and/or modification11010$40$520
    90863The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.11010$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hamilton Physician Group IncGACardiovascular Disease Physician$0$5.9M
    Jeremiah WatkinsTXAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Amarabalan RajendranGAPhysical Medicine & Rehabilitation Physician$690.5K$0
    Ezad AhmadGACardiovascular Disease Physician$529.8K$0
    Rajiv VermaGACardiovascular Disease Physician$517.7K$0
    Stanford VoegeleGAInternal Medicine Physician$478.9K$0
    Eric JensenGAInternal Medicine Physician$390.2K$0
    Joshua HareTNAddiction Medicine (Preventive Medicine) Physician$358.4K$0
    Naseer HumayunGAPulmonary Disease Physician$317.9K$0
    Samuel JohnsonGANephrology Physician$299.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Highland Rivers Community Service BoardGACommunity/Behavioral Health Agency$0$44.1M
    White's PediatricsGAPediatrics Physician$0$25.1M
    Family And Children First LLCGACommunity/Behavioral Health Agency$0$19.5M
    Pediatrics Of Dalton, PAGASpecialist$0$5.5M
    Dalton Ear Nose & Throat AssociatesGAOtolaryngology Physician$0$4M
    Skin Cancer & Cosmetic Dermatology Center, PCGADermatology Physician$0$3.4M
    John ChungGAMOHS-Micrographic Surgery Physician$2.5M$0
    Hamilton Emergency Medical ServicesGALand Ambulance$1.2M$0
    Hosam Saad-naguibGAHematology & Oncology Physician$1M$0
    Professional Eye Associates, Inc.GAAmbulatory Surgical Clinic/Center$698.9K$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. Georgia Distribution
    Justin Hare — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Justin Hare — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia