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    OpenPayerNPI Medicare & MedicaidMatthew Tollefson
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    Matthew Tollefson — Billing Profile & Reimbursement Data

    NPI 1316927114 · Rochester, MN · Urology Physician

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    Matthew Tollefson is a urology physician provider located in Rochester, Minnesota. This profile covers 8 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
    OrganizationMatthew Tollefson
    Address200 1st St Sw
    CityRochester
    StateMN
    ZIP55905
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 18, 2006

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

    Payer SourceTotal Paid
    Medicare$98.7K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…70$870$57.1K
    51999Use 51999 to report laparoscopy procedures on the bladder that do not have a specific code.10$1,480$16.3K
    38571The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…40$250$10.8K
    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…70$90$6.8K
    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…30$130$3.6K
    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…40$70$2.6K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…20$70$1.3K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.20$10$180

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5586612020$750$17.9K
    5199911010$1,480$16.3K
    992144,75110,10070$80$8.1K
    3857111020$210$4.6K
    992135,4309,12050$50$4K
    992041,3043,34020$110$3.6K
    51720204020$60$1.6K
    5179814217060$10$830

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abigail StockhamMNRadiation Oncology Physician$757.3K$0
    Zachary WilsonWIRadiation Oncology Physician$562.9K$0
    Yolanda GarcesMNRadiation Oncology Physician$419.3K$0
    Timothy KozelskyMNRadiation Oncology Physician$396.3K$0
    James LeenstraMNRadiation Oncology Physician$394.3K$0
    Now Bahar AlamWIRadiation Oncology Physician$199.1K$0
    Amber RetzlaffMNRadiation Oncology Physician$181.6K$0
    Jeremy FogelsonMNNeurological Surgery Physician$173.6K$0
    Bradley StishMNRadiation Oncology Physician$171.7K$0
    Patrick ConwayWIRadiation Oncology Physician$148K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Minnesota Distribution
    Matthew Tollefson — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota