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    OpenPayerNPI Medicare & MedicaidCarl Hinshaw
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    Carl Hinshaw — Billing Profile & Reimbursement Data

    NPI 1407085129 · Grand Rapids, MI · Pain Medicine (Anesthesiology) Physician

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    Carl Hinshaw is a pain medicine (anesthesiology) physician provider located in Grand Rapids, Michigan. This profile covers 25 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
    OrganizationCarl Hinshaw
    Address1900 Wealthy St Se Ste 300
    CityGrand Rapids
    StateMI
    ZIP49506
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJuly 2, 2009

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

    Payer SourceTotal Paid
    Medicare$85.4K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$390$16K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…60$220$13.2K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…80$170$13K
    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…20$320$6.3K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…40$150$6.1K
    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…30$170$5.7K
    64634In this add on 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…30$190$5.3K
    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…20$170$3.2K
    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…30$100$3K
    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).20$180$2.7K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    646354815030$380$14.4K
    6448319722040$180$11.9K
    623236622040$150$11.2K
    64633225020$360$8.5K
    6449310619040$170$8K
    9921312,71814,81060$60$6.6K
    646361713030$170$6.6K
    270967218030$130$6.1K
    64490598020$180$5.6K
    992043,9096,28030$110$4.2K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Primary Care PartnersMIInternal Medicine Physician$0$219.9M
    Spectrum Health Primary Care PartnersMIUrgent Care Clinic/Center$0$14.5M
    Bachar HamadILGastroenterology Physician$325.3K$829.9K
    Zhe LiangMIRheumatology Physician$1M$14.6K
    Fadi DellyMIInterventional Pain Medicine Physician$431.8K$0
    Zakari TataMIFamily Medicine Physician$398K$0
    Nawaf MurshedMINeurology Physician$397.4K$0
    Robert OtteFLOrthopaedic Surgery Physician$324.1K$0
    Enid Ling-stowersMIEmergency Medicine Physician$253.4K$67.6K
    Tejinder ManderMICardiovascular Disease Physician$315K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Counseling Center Of West Michigan, LLCMIMental Health Counselor$0$12.3M
    Kent Residential Centers, IncMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12M
    Edward LeeMIRadiation Oncology Physician$393.4K$0
    Byron SlatonMINephrology Physician$245.5K$0
    Michael UnruhMINephrology Physician$237.5K$0
    Brett PlattnerMINephrology Physician$206.1K$0
    Matthew VillerotMIPain Medicine (Anesthesiology) Physician$119.1K$0
    Yijia ChuMIPain Medicine (Anesthesiology) Physician$78.7K$0
    Hopemarie HowerMIOccupational Therapist$52.7K$0
    John HumphreyMIUrology Physician$49K$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. Michigan Distribution
    Carl Hinshaw — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan