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NPI 1366489270 · Milan, TN · Specialist
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Kenneth Tozer is a specialist provider located in Milan, Tennessee. This profile covers 18 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kenneth Tozer |
| Address | 4022 Liberty St |
| City | Milan |
| State | TN |
| ZIP | 38358 |
| Taxonomy | Specialist |
| NPI Enumerated | May 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $124.1K |
| Medicaid | $2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36478 | In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code… | 40 | $700 | $28.7K |
| 99213 | The 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… | 440 | $60 | $26.8K |
| 99214 | The 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… | 120 | $80 | $9.7K |
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 60 | $160 | $9.3K |
| 45384 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy… | 60 | $140 | $8K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 80 | $90 | $6.4K |
| 99204 | The 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… | 60 | $100 | $6.4K |
| 99203 | The 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… | 90 | $70 | $6.2K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 120 | $40 | $4.4K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 30 | $140 | $3.5K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36478 | 4 | 10 | 40 | $690 | $43.6K |
| 45385 | 257 | 320 | 60 | $260 | $27.1K |
| 99214 | 5,846 | 11,370 | 120 | $80 | $16.6K |
| 45380 | 254 | 320 | 40 | $190 | $15.3K |
| 45388 | 2 | 10 | 40 | $280 | $13.7K |
| 43239 | 90 | 340 | 70 | $110 | $11.2K |
| 17110 | 440 | 440 | 110 | $70 | $9.8K |
| 43249 | 6 | 80 | 30 | $230 | $8.6K |
| 99213 | 742 | 11,030 | 80 | $50 | $8K |
| 45384 | 7 | 40 | 30 | $190 | $7.6K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 60 | $30 | $2K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,351 | 4,050 | 620 | $30 | $183.9K |
Other providers in the same ZIP code as Kenneth Tozer, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Milan General Hospital, Inc. | TN | General Acute Care Hospital | $0 | $3.5M |
| Lisa Medlin | TN | Family Nurse Practitioner | $545.1K | $0 |
| Joel Craig | TN | Foot & Ankle Surgery Podiatrist | $143.1K | $199.3K |
| Wade Reeves | TN | Family Medicine Physician | $267.1K | $0 |
| Krystle Anderson | TN | Physical Therapist | $166.2K | $0 |
| Adam Clark | TN | Physical Therapist | $165.5K | $0 |
| Nicolas Appleton | TN | Internal Medicine Physician | $123K | $0 |
| Dennis Wilson | TN | Clinical Psychologist | $55.9K | $25.7K |
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