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

    NPI 1326305236 · Sulphur Springs, TX · Pain Medicine (Anesthesiology) Physician

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    Matthew Johnson is a pain medicine (anesthesiology) physician provider located in Sulphur Springs, Texas. This profile covers 20 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 Johnson
    Address113 Medical Cir
    CitySulphur Springs
    StateTX
    ZIP75482
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedApril 16, 2012

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

    Payer SourceTotal Paid
    Medicare$142.3K
    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.

    20 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…510$70$36.5K
    22102The provider excises a portion of the back part of a lumbar vertebra, one of the bones in the lower back, to remove a bony lesion, or diseased area, contained within that single bone.20$610$14K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).130$100$13K
    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…120$100$12K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$200$11.4K
    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…110$90$9.9K
    64772The provider severs or removes other spinal nerves that are not identified in other codes within CPT®.40$220$9.6K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…60$100$6.3K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…110$50$5.7K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$190$5.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6463513754040$370$19.1K
    6448314869060$190$18.3K
    992143,33732,500110$80$17.6K
    2210211020$610$14K
    646338721030$390$12.8K
    644939364050$180$12.3K
    644905534030$190$8.3K
    2061146457050$80$7.2K
    6463611044040$140$6.7K
    6232133539030$150$6.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristen SosaTXFamily Nurse Practitioner$1.5M$0
    Garrett RoyTXPsychiatric/Mental Health Nurse Practitioner$855.1K$0
    Aurelio CerveraTXClinical Cardiac Electrophysiology Physician$588.6K$0
    John SmithLACardiovascular Disease Physician$503.2K$0
    Ruchita PatelTXFamily Medicine Physician$453.7K$0
    Halim Abou-faycalLAInfectious Disease Physician$436.5K$0
    Ramesh HariharanTXClinical Cardiac Electrophysiology Physician$368.3K$0
    Rajesh VenkataramanTXClinical Cardiac Electrophysiology Physician$368.1K$0
    Benjamin YanWVRadiation Oncology Physician$366K$0
    Marcus SmithTXNeurological Surgery Physician$329.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hopkins County Hospital DistrictTXAmbulance$1.3M$1.7M
    Imtiaz IsmailTXInterventional Cardiology Physician$254.6K$0
    Morresa BainTXFamily Nurse Practitioner$157.5K$0
    Loren OstTXUrology Physician$64.7K$0
    Craig HawkinsTXUrology Physician$47K$0
    Jay YatesTXOtolaryngology Physician$43.2K$60
    Randy VinceTXUrology Physician$12.1K$0
    Dusty RhoadesTXFamily Nurse Practitioner$11.8K$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. Texas Distribution
    Matthew Johnson — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas