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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Carlson
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    Eric Carlson — Billing Profile & Reimbursement Data

    NPI 1417926015 · Joplin, MO · Medical Oncology Physician

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    Eric Carlson is a medical oncology physician provider located in Joplin, Missouri. This profile covers 32 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
    OrganizationEric Carlson
    Address3415 Mcintosh Cir
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyMedical Oncology Physician
    NPI EnumeratedMarch 16, 2006

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

    Payer SourceTotal Paid
    Medicare$579.8K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg7,600$40$326.8K
    J0897Injection, denosumab, 1 mg2,580$20$46.4K
    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…790$60$44.9K
    J1627Injection, granisetron, extended-release, 0.1 mg7,400$10$37K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…320$90$30.5K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg240$100$24K
    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…260$80$22.2K
    J0185Injection, aprepitant, 1 mg10,660$1$10.7K
    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…50$120$6.3K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…180$20$3.8K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927129409,100$40$502K
    J0897942102,400$20$82.4K
    J16271107,400$1$34.5K
    Q5108110240$100$24.1K
    9641334160140$100$19.1K
    J3490508040$150$14K
    J01856109,490$1$14K
    992141,9568,960100$80$13.9K
    992131338,73070$50$7K
    992151,7682,30030$110$6.8K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Dennis MooreKSHematology & Oncology Physician$6.7M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$6.2M
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark CenterMOCommunity/Behavioral Health Agency$0$165.3M
    Jasper County Sheltered Facilities AssocMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$62.1M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.5M
    The Independent Living Center, Inc.MOAttendant Care Provider$0$24.7M
    Jasper County Sheltered Facilities BoardMOCase Management Agency$0$21.3M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Jasper County Sheltered Facilities AssocMODevelopmentally Disabled Services Day Training Agency$0$13.2M
    The Independent Living Center, Inc.MOPersonal Care Attendant$0$12.4M
    Jasper County Sheltered Facilities Assc.MODevelopmentally Disabled Services Day Training Agency$0$9.1M

    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. Missouri Distribution
    Eric Carlson — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri