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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Eatherly
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    Joseph Eatherly — Billing Profile & Reimbursement Data

    NPI 1295744753 · Oak Ridge, TN · Specialist

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    Joseph Eatherly is a specialist provider located in Oak Ridge, Tennessee. This profile covers 22 Medicare and 5 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
    OrganizationJoseph Eatherly
    Address129 E Division Rd
    CityOak Ridge
    StateTN
    ZIP37830
    TaxonomySpecialist
    NPI EnumeratedAugust 5, 2006

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

    Payer SourceTotal Paid
    Medicare$394.3K
    Medicaid$3.9K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88120The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…240$430$100.8K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method350$270$92.6K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…4,020$20$72.4K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.1,450$30$36.4K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…720$50$32.5K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…60$210$12.6K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…70$120$8.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.610$10$6.1K
    82670The lab analyst measures the level of total estradiol, an estrogenic hormone, on a specimen such as blood using a method such as liquid chromatography–tandem mass spectrometry (LC–MS/MS) to evaluate…190$30$5.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…640$10$5.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88120410240$420$145.6K
    88305365420500$30$55.1K
    G041667030$220$22.8K
    881121116080$30$7.8K
    8830715722090$70$7.5K
    88344185050$80$6K
    800531571,600160$10$4.3K
    8230611791050$30$4.1K
    8267084040$30$3.8K
    84403319030$30$3.3K

    Showing 1–10 of 22

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…220$10$2.2K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…410$1$1.2K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.60$1$240
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…100$1$190
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…20$1$60

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.1520260$10$61.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…5375501,210$1$50.1K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…1220430$10$30.8K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…144170880$1$16.4K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…1630220$20$14.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Adam ShrewsberryTNUrology Physician$476.7K$0
    Nilesh PatelTNRadiation Oncology Physician$329.6K$0
    Lee CongletonTNUrology Physician$326.1K$0
    Rachel VannTNFamily Nurse Practitioner$320.5K$1.7K
    Christopher RamseyTNUrology Physician$299K$0
    Timothy LeroyTNUrology Physician$276.8K$4.1K
    Devarshi DesaiTNDiagnostic Radiology Physician$159K$74.8K
    Jacob PirkleTNDiagnostic Radiology Physician$221.2K$0
    Sean DelairTNUrology Physician$208.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ridgeview Psychiatric Hospital And Center, Inc.TNPsychiatric Hospital$0$42M
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Emory Valley CenterTNIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$11.3M
    Discover Diagnostic Laboratory, LLCTNClinical Medical Laboratory$363.5K$4.7M
    Children's ClinicTNPediatric Adolescent Medicine Physician$0$4.7M
    East Tennessee Ear, Nose & Throat Specialists, PCTNOtolaryngology Physician$0$2.6M
    East Tennessee Children's Primary Care Center, Inc.TNPediatrics Physician$0$2.4M
    The Eye Surgery Center Of Oak Ridge LLCTNClinic/Center$783K$3.3K
    Surgery Center Of Oak Ridge, LLCTNAmbulatory Surgical Clinic/Center$241K$493.4K
    Brian BurnettTNFamily Nurse Practitioner$661.1K$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. Tennessee Distribution
    Joseph Eatherly — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Joseph Eatherly — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee