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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshton Breithaupt
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    Ashton Breithaupt — Billing Profile & Reimbursement Data

    NPI 1366896334 · Knoxville, TN · Nephrology Physician

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    Ashton Breithaupt is a nephrology physician provider located in Knoxville, Tennessee. This profile covers 15 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
    OrganizationAshton Breithaupt
    Address320 Park 40 North Blvd
    CityKnoxville
    StateTN
    ZIP37923
    TaxonomyNephrology Physician
    NPI EnumeratedApril 15, 2016

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

    Payer SourceTotal Paid
    Medicare$162.6K
    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.

    15 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…470$90$42K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…140$260$35.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…440$60$25.2K
    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…150$110$16.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$8.8K
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…580$10$7.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$130$5.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.580$10$4.6K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…70$50$3.8K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…20$220$3.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9096081130170$260$49.1K
    992141,41011,370120$80$16.6K
    9096112513040$210$11.7K
    992323983,990100$60$11.4K
    992151,2222,71040$110$8.3K
    992232,5013,13040$120$8K
    992139,96411,03080$50$8K
    992042775,49030$100$5.3K
    909357714080$50$5K
    992222232,63030$90$3.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    George NewmanTNSpecialist$395.1K$0
    Kendra HendonTNNephrology Physician$335.2K$0
    Bryce LundNENephrology Physician$189.3K$0
    Abrar AhmadTNNephrology Physician$131.5K$0
    Tapasi SahaTNNephrology Physician$116.4K$0
    Brian SavageTNNephrology Physician$102.2K$0
    Steven ButlerTNNephrology Physician$93.1K$0
    Natacha WoodFLNephrology Physician$83.5K$0
    Girish SinghaniaUTNephrology Physician$73.3K$1
    Anita BuckleTNFamily Nurse Practitioner$27.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah L Curlee Communication Consultants IncTNSpeech-Language Pathologist$0$54.5M
    Rha Health Services Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$31.7M
    Parkwest Medical CenterTNGeneral Acute Care Hospital$0$30M
    Preferred Care At HomeTNIn Home Supportive Care Agency$0$19M
    Tennessee Ear, Nose & Throat Consultants, PCTNOtolaryngology Physician$0$9.2M
    Nurturing Independence IncTNIn Home Supportive Care Agency$0$5.9M
    Special Care Inc.TNCommunity Based Hospice Care Agency$0$5.1M
    Childhelp, Inc.TNCommunity/Behavioral Health Agency$0$4.8M
    Family Home Care Services, LLCTNIn Home Supportive Care Agency$0$4.7M
    East Tn Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$3.9M

    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. Tennessee Distribution
    Ashton Breithaupt — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee