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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Holden
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    John Holden — Billing Profile & Reimbursement Data

    NPI 1427034792 · Ponca City, OK · Internal Medicine Physician

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    John Holden is a internal medicine physician provider located in Ponca City, Oklahoma. This profile covers 27 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
    OrganizationJohn Holden
    Address427 Fairview Ave
    CityPonca City
    StateOK
    ZIP74601
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 19, 2005

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

    Payer SourceTotal Paid
    Medicare$127.9K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,300$50$66K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…250$30$8.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.570$10$7.3K
    99203The 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…100$60$5.8K
    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…90$60$5.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…530$10$4.2K
    G0008Administration of influenza virus vaccine140$30$3.8K
    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…30$100$3.1K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…90$30$2.9K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…40$60$2.7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,1725,560130$70$18.4K
    992328731,77090$60$14K
    800611821070$10$11.5K
    11102150150190$50$11.4K
    99213405,45080$50$8.7K
    993076010090$30$4.9K
    992225081,13030$90$4.6K
    992032331,90030$70$3.5K
    364151831,03090$10$3.4K
    9324161020$180$3.3K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grand Lake Mental Health Center IncOKCommunity/Behavioral Health Agency$0$15.4M
    Northern Oklahoma Regional Pediatric Clinic, PLLCOKPediatric Adolescent Medicine Physician$0$10.8M
    Kay County Oklahoma Hospital Company LLCOKGeneral Acute Care Hospital$0$6.8M
    Amc Urgent Care Plus, LLCOKGeneral Practice Physician$0$5.3M
    Nes Oklahoma, Inc.OKEmergency Medicine Physician$0$4.6M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$4.1M
    Ponca City Immediate Care, LLCOKFamily Medicine Physician$0$3.8M
    White Eagle Health CenterOKClinic/Center$0$2.4M
    City Of Ponca CityOKLand Ambulance$489.1K$1.6M
    Kay County Oklahoma Hospital Company LLCOKRural Health Clinic/Center$0$1.8M

    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. Oklahoma Distribution
    John Holden — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma