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    Jeffrey Johnson — Billing Profile & Reimbursement Data

    NPI 1295899672 · Mexico, ME · Podiatrist

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    Jeffrey Johnson is a podiatrist provider located in Mexico, Maine. This profile covers 6 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
    OrganizationJeffrey Johnson
    Address237 Main St Ste 3
    CityMexico
    StateME
    ZIP04257
    TaxonomyPodiatrist
    NPI EnumeratedDecember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$39.3K
    Medicaid$4.7K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.880$30$22.8K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…50$160$8.3K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…70$50$3.1K
    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…40$70$2.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…30$50$1.4K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.40$20$650

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1104331060$130$14.6K
    11721650240$30$12.2K
    117201420100$20$3.4K
    9930421050$60$2.4K
    9920317762030$60$2.4K
    99202136020$40$1.1K

    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
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.380$10$3.8K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…50$10$430
    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…10$30$300
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…20$10$140
    99324N/A20$1$20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maine median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…163170220$30$24.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.4870890$10$21.5K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…2430100$10$5.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…51040$20$1.1K
    99324N/A51030$10$670

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rumford HospitalMECritical Access Hospital$0$2.4M
    Daniel RauschMEHematology & Oncology Physician$541K$0
    Firoozeh Ghadyary-khorzooghyAZFoot & Ankle Surgery Podiatrist$526.4K$0
    Julia MoukharskayaMEHematology & Oncology Physician$519.1K$0
    David KowalMIPrimary Podiatric Medicine Podiatrist$79.2K$304.8K
    Katherine Attong-jacksonCTPodiatrist$336.7K$0
    Shilpa KotharyCTPodiatrist$332.4K$0
    Faysal SiddiquiNYPodiatrist$329.4K$0
    Nemr FarajMIPodiatrist$305.6K$0
    Quinn CharbonneauMAPodiatrist$301.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Oxford Regional Ambulance ServiceMELand Ambulance$399.8K$2.9M
    Wal-mart Stores East LPMECommunity/Retail Pharmacy$35.6K$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. Maine Distribution
    Jeffrey Johnson — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine
    Medicaid Revenue by Year vs. Maine Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Jeffrey Johnson — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine