Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Harl
    Ask Trek AI about this page

    Eric Harl — Billing Profile & Reimbursement Data

    NPI 1336297043 · Shakopee, MN · Medical Physician Assistant

    Customize your policy alerts

    Sign up for Eric Harl — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Eric Harl is a medical physician assistant provider located in Shakopee, Minnesota. This profile covers 11 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Harl
    Address1415 Saint Francis Ave
    CityShakopee
    StateMN
    ZIP55379
    TaxonomyMedical Physician Assistant
    NPI EnumeratedJanuary 8, 2007

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

    Payer SourceTotal Paid
    Medicare$47.4K
    Medicaid$0

    Key Findings

    ERIC HARL is a Medical Physician Assistant based in SHAKOPEE, MN with an NPI enumerated on 2007-01-08 (~19 years ago), indicating long tenure in the Medicare program. The provider’s billing profile is compact and centered on office-based ambulatory care services rather than hospital or institutional practice lines.

    This provider’s publicly reported Medicare revenue totals $47.4K while there is no Medicaid billing on file, so the practice is effectively single-payer at the state level and relies entirely on Medicare for the observed public revenue. The absence of any Medicaid activity suggests limited participation in state Medicaid networks or a patient mix concentrated in Medicare-eligible populations.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 72.6% of total Medicare revenue. Those top three codes are 99214 ($19K, 40.0%), 99213 ($11.9K, 24.9%), and 17000 ($3.7K, 7.7%), showing that two established-patient E/M codes plus premalignant lesion destruction drive the majority of reported Medicare income.

    The code mix points to a primary care/office-based practice that performs frequent dermatologic procedures. High claim counts for E/M codes (99214: 268 claims, $71 avg paid/claim; 99213: 242 claims, $49 avg paid/claim) together with procedural codes such as 17000 (115 claims, $32 avg), 17003 (257 claims, $4 avg), 11104 (30 claims, $73 avg), 11102 (13 claims, $59 avg), and 11400 (21 claims, $52 avg) indicate routine skin lesion management and minor surgical work in the office setting.

    Competitive standing for core E/M services is modest but not negligible: 99214 ranks #114038 of 479517 providers nationally (76th percentile; typical, unremarkable volume for this code) and 99213 ranks #78768 of 457151 providers nationally (83th percentile; typical, unremarkable volume for this code). These ranks imply the provider maintains a respectable national volume for established-patient visits, but is not a dominant national outlier.

    Procedural competitiveness is mixed across dermatologic and minor-procedure codes. 17000 ranks #13107 of 21879 (40th percentile; typical, unremarkable volume), 17003 ranks #13896 of 19643 (29th percentile; typical, unremarkable volume), and 11104 ranks #1597 of 6872 (76th percentile; typical, unremarkable volume), while 11102 ranks #18353 of 18797 (2th percentile; typical, unremarkable volume). This pattern indicates some relative strength in destructive lesion work and excisions but very low relative volume for tangential shave biopsy (11102).

    Operationally, the presence of a large count of low-valued add-on units is notable: 17003 appears 257 times with an average paid per claim of $4 and contributes $1K (2.2% of the provider’s Medicare revenue). That combination (high frequency, low per-unit payment) suggests multiple lesion treatments per encounter with limited incremental revenue per lesion, while codes like 12031 (17 claims, $169 avg, $2.9K revenue) reflect fewer but higher-paid procedural events such as intermediate wound repairs.

    From a business perspective the absolute Medicare footprint is small at $47.4K total revenue, which constrains scale and negotiating leverage; coupled with no Medicaid billing, the practice has limited payer diversification in the public programs. Preventive-care activity is present (G0438: 16 claims, $139 avg; G0439: 21 claims, $109 avg) but G0439 ranks in the 16th percentile nationally, indicating that annual wellness visits are a minor component of this provider’s Medicare panel relative to peers and could be an incremental growth opportunity if desired.

    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.

    11 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…270$70$19K
    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…240$50$11.9K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.120$30$3.7K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.20$170$2.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$110$2.3K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$140$2.2K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.30$70$2.2K
    11400The provider excises a noncancerous lesion, excluding a skin tag, of 0.5 cm or less in diameter, including margins, from the skin of the trunk, arms, or legs.20$50$1.1K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…260$1$1K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.10$60$770

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141810,10070$80$8.1K
    G0439142,29040$120$6.9K
    170001400120$30$5.3K
    11102233070$50$5.2K
    99213189,12050$50$4K
    1203111010$160$3.6K
    G0438549020$160$3.3K
    1140011040$80$2.9K
    170031350380$1$2.1K
    11104212020$70$1.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nadine MillerMNMedical Physician Assistant$50.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Twin Cities HealthMNMental Health Counselor$0$16.7M
    Universal Health Services LLCMNHome Health Registered Nurse$0$15.2M
    St Francis Regional Medical CenterMNGeneral Acute Care Hospital$0$13M
    Suburban Emergency Associates, P.A.MNNurse Practitioner$0$5.2M
    Northstar RegionalMNClinical Medical Laboratory$22.6K$2.7M
    Mohamed KhattabMNRadiation Oncology Physician$358.1K$0
    Edwin BogonkoMNInternal Medicine Physician$110.3K$0
    Brayton KiedrowskiMNSports Medicine (Family Medicine) Physician$60.4K$0
    Wendy BergeronMNFamily Medicine Physician$52.3K$0
    Joelle WeirMNNurse Practitioner$45.6K$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. Minnesota Distribution
    Eric Harl — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota