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    OpenPayerNPI Medicare & MedicaidLaurie Johnson
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    Laurie Johnson — Billing Profile & Reimbursement Data

    NPI 1316954688 · Casper, WY · Physician Assistant

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    Laurie Johnson is a physician assistant provider located in Casper, Wyoming. This profile covers 27 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
    OrganizationLaurie Johnson
    Address6501 E 2nd St
    CityCasper
    StateWY
    ZIP82609
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 1, 2006

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

    Payer SourceTotal Paid
    Medicare$612.5K
    Medicaid$0

    Key Findings

    Medicare revenue is concentrated almost entirely in a few infusion and clinic visit codes: the precomputed top 3 Medicare codes by revenue account for 92.7% of this provider's total Medicare revenue, driving the bulk of the reported $612.5K in Medicare receipts. This extreme concentration means most of the practice’s Medicare dollars come from a narrow set of services rather than a broad mix of outpatient care.

    The single largest revenue driver is J9271 (pembrolizumab), which generates $447.2K and represents 73.6% of this provider’s Medicare revenue; this suggests the practice operates primarily as an oncology/infusion site administering high-cost monoclonal antibody therapy. Secondary revenue comes from J0897 (denosumab) at $77.8K (12.8%) and 99214 office visits at $38.5K (6.3%), indicating a service model combining high-volume biologic infusions with evaluation-and-management follow-up.

    This provider appears effectively single-payer in the observed dataset: Total Medicare revenue is $612.5K while there is no Medicaid billing on file, so the practice’s public-payer exposure is concentrated in Medicare rather than a mixed Medicare–Medicaid payer mix. Analysts should treat the profile as Medicare-dominant and not expect Medicaid volume to meaningfully diversify revenue or utilization patterns.

    Competitive standing by code is modest to mixed: J9271 ranks #1128 of 1841 providers nationally (38th percentile) and is described in the source as "typical, unremarkable volume for this code," indicating this provider is not a national leader for pembrolizumab despite the large share of its own revenue coming from it. J0897 ranks #3274 of 10057 providers (67th percentile) and 99214 ranks #55194 of 479517 providers (88th percentile), each also labeled "typical, unremarkable volume for this code," so the provider’s absolute activity on some codes is above median but still within typical industry variation rather than an outlier.

    The broader code mix supports an integrated infusion practice with on-site monitoring and supportive care rather than a pure office-only model: additional chemotherapy/infusion administration codes such as 96413 ($8.5K), 96367 ($3.4K), and 96365 ($2.6K) appear on the file, and supportive antiemetic J2469 shows 460 claims for $460 in revenue. Routine lab monitoring also appears regularly (e.g., 36415 with 393 claims/$3.1K, 80053 with 291 claims/$2.9K, and 85025 with 249 claims/$2.0K), consistent with ongoing infusion management and follow-up.

    The provider has long-standing enrollment in federal programs, with NPI enumeration dated 2006-08-01 (~20 years ago), which suggests operational stability and sustained participation in Medicare billing over an extended period. This tenure, combined with a concentrated revenue mix, implies an established clinical focus (oncology infusion) that has been maintained over many years.

    High revenue dependence on a single product is notable from a business risk perspective: J9271 alone accounts for $447.2K and 73.6% of Medicare revenue, so changes in pembrolizumab prescribing, payer coverage, or reimbursement could materially affect the practice’s Medicare income. Given that the top three codes together make up 92.7% of Medicare revenue, the practice’s financial performance on public payers is highly sensitive to volume and reimbursement trends for a very small set of services.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg10,400$40$447.2K
    J0897Injection, denosumab, 1 mg4,320$20$77.8K
    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…460$80$38.5K
    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…190$50$10.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…100$90$8.5K
    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…40$110$3.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…170$20$3.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.390$10$3.1K
    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.290$10$2.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$40$2.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927131012,500$40$528K
    J08978501,800$20$51.1K
    96413510150$100$22.9K
    9921480780100$80$14.8K
    96365810220$50$13.4K
    99213249850110$60$9.9K
    96367410180$20$7.8K
    9920415534030$110$5K
    9641751070$50$4.9K
    96415410100$20$2.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Arthur KorotkinCOOphthalmology Physician$3.7M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Matthew AsanoCOOphthalmology Physician$2M$0
    Stacey WellsAKRadiation Oncology Physician$2M$0
    Elie FahedWYMedical Oncology Physician$1.9M$0
    Peter HovlandCOOphthalmology Physician$1.8M$0
    James LevineCORheumatology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Community Action Programs Of Wyoming, Inc.WYDevelopmentally Disabled Services Day Training Agency$0$25.8M
    Community Health Center Of Central Wyoming, Inc.WYFederally Qualified Health Center (FQHC)$0$15.3M
    Emg Casper Mw LLCWYAssisted Living Facility$0$5.9M
    Casper Children's Center, LLCWYPediatrics Physician$0$4M
    Wyoming Behavioral InstituteWYPsychiatric Hospital$0$2.7M
    Stephen BrownWYChild & Adolescent Psychiatry Physician$0$2.4M
    2nd Street Dental, LLCWYDental Clinic/Center$0$2.4M
    Solutions Counseling Services LLCWYCommunity/Behavioral Health Agency$0$2.1M
    Surfin Smiles LLCWYPediatric Dentistry$0$2M
    Robert PetersonWYSchool Psychologist$0$1.9M

    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. Wyoming Distribution
    Laurie Johnson — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming