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    OpenPayerNPI Medicare & MedicaidJustin Gardner
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    Justin Gardner — Billing Profile & Reimbursement Data

    NPI 1386011021 · Murray, UT · Physician Assistant

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    Justin Gardner is a physician assistant provider located in Murray, Utah. 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.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJustin Gardner
    Address5295 S Commerce Dr Ste 550
    CityMurray
    StateUT
    ZIP84107
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 28, 2015

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

    Payer SourceTotal Paid
    Medicare$10.6K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…50$70$3.4K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.50$70$3.2K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…80$20$1.3K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…10$40$570
    23350In this procedure, the provider performs an injection of a contrast agent into the shoulder joint for a shoulder arthrography procedure, a diagnostic test in which the provider obtains a series of…10$30$420
    74340In this procedure, the provider performs imaging supervision and interpretation, or S&I, for a separately reportable procedure where a provider inserts a balloon tipped tube into the first portion of…30$20$420
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…20$20$410
    44500The provider inserts a long flexible intestinal tube that consists of two channels and a balloon tip down to the small intestine. He uses one of the channels in the tube to aspirate, or withdraw,…30$10$310
    74221The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…20$20$290
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…20$10$200

    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
    770023209030$70$4.2K
    49083913030$70$2.8K
    32555663030$70$2.6K
    23350271020$120$1.8K
    100051802020$80$1.8K
    74230485030$20$1.1K
    769378077030$10$510
    74221652020$20$440
    7434012020$20$430
    770013094020$20$390

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Mountain Medical Physician Specialists PCUTDiagnostic Radiology Physician$0$1.2M
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K
    James SullivanMNDiagnostic Radiology Physician$589.8K$0
    Saint Lukes Physician Group IncKSNurse Practitioner$0$586.4K
    Nicholas SullivanIADiagnostic Radiology Physician$566.6K$0
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Justin Gardner — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah