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    OpenPayerNPI Medicare & MedicaidPeter Boehm
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    Peter Boehm — Billing Profile & Reimbursement Data

    NPI 1427261429 · Chattanooga, TN · Neurological Surgery Physician

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    Peter Boehm is a neurological surgery physician provider located in Chattanooga, Tennessee. This profile covers 9 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPeter Boehm
    Address1010 E 3rd St Ste 202
    CityChattanooga
    StateTN
    ZIP37403
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedMay 7, 2007

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

    Payer SourceTotal Paid
    Medicare$51.6K
    Medicaid$3.4K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,220$15.8K
    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…80$110$8.5K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…40$190$6.5K
    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…70$90$6.3K
    22552The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$280$5.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$120$3.7K
    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…50$60$2.8K
    69990Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.10$150$1.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$30$370

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22551255010$1,240$18.6K
    992147,29711,370120$80$16.6K
    992231,8823,13040$120$8K
    992137,19411,03080$50$8K
    2255271020$250$5.3K
    992041,0495,49030$100$5.3K
    228535111030$130$5.2K
    992311,0831,11040$40$3.1K
    6999051010$130$1.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$20$1.3K
    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…40$30$1.1K
    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…10$70$990

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,6243,760610$40$202.3K
    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…3,4834,050620$30$183.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…7951,170170$20$23.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chattanooga Hamilton County Hospital AuthorityTNGeneral Acute Care Hospital$0$52.4M
    Chattanooga Hamilton County Hospital AuthorityTNInternal Medicine Physician$0$27.9M
    Clint KingsleyALHematology & Oncology Physician$1.6M$22K
    Chirag PatelTNHepatology Physician$398.5K$3.1K
    Tareck KadrieTNNeurology Physician$372.3K$3.8K
    Asma KhanTNEndocrinology, Diabetes & Metabolism Physician$175.8K$77.3K
    Harish ManyamTNClinical Cardiac Electrophysiology Physician$244.5K$0
    Matthew HigginsTNOrthopaedic Surgery Physician$227.6K$0
    Brandon BrownTNDermatology Physician$204.9K$0
    Frank KimseyTNRadiation Oncology Physician$200.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regional Obstetrical Consultants PCTNMaternal & Fetal Medicine Physician$0$14.2M
    Tennessee River Physicians, PLLCTNEmergency Medicine Physician$0$3.9M
    Southeastern Emergency Services Of Memphis, P.C.TNEmergency Medicine Physician$0$3.8M
    Tennessee Interventional And Imaging Associates, PLLCTNDiagnostic Radiology Physician$0$3.4M
    Erlanger HealthTNGeneral Acute Care Hospital$0$3.3M
    Hearth Hospice Of Tennessee, LLCTNCommunity Based Hospice Care Agency$0$2.8M
    Erlanger HealthTNInternal Medicine Physician$0$2.3M
    Robert GrahamTNHematology & Oncology Physician$1.2M$19.8K
    Harsha VardhanaTNMedical Oncology Physician$941.1K$66.6K
    Sumana NagireddyTNHematology & Oncology Physician$836.4K$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. Tennessee Distribution
    Peter Boehm — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Peter Boehm — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee