Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Stanley
    Ask Trek AI about this page

    John Stanley — Billing Profile & Reimbursement Data

    NPI 1447244348 · Chattanooga, TN · Colon & Rectal Surgery Physician

    Customize your policy alerts

    Sign up for John Stanley — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    John Stanley is a colon & rectal surgery physician provider located in Chattanooga, Tennessee. This profile covers 15 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Stanley
    Address979 E 3rd St
    CityChattanooga
    StateTN
    ZIP37403
    TaxonomyColon & Rectal Surgery Physician
    NPI EnumeratedSeptember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$34K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…30$180$5K
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…40$80$3.4K
    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…40$80$3K
    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…30$120$3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$180$3K
    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,…70$40$2.7K
    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$90$2.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$140$2.2K
    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$60$2.2K
    44213In this laparoscopic add–on procedure, during the same session in which the provider performs partial colectomy, he also mobilizes the splenic flexure, a sharp bend between the transverse and the…10$140$1.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538528532060$260$27.1K
    9921410,84011,370120$80$16.6K
    992323,9313,990100$60$11.4K
    992137,95511,03080$50$8K
    4622171030$160$6.4K
    4537821323020$170$5.7K
    992043,2975,49030$100$5.3K
    992059441,30020$140$4.9K
    46600163050$70$4K
    992221,4042,63030$90$3.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Ashwani SastryNCVascular Surgery Physician$1.3M$0
    Sreejit NairNCVascular Surgery Physician$658K$0
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K
    Corinne HinsonTNFamily Nurse Practitioner$492.9K$0
    Courtney CrawfordTXRetina Specialist (Ophthalmology) Physician$430.3K$0
    Jeremy TheisenOKDiagnostic Radiology Physician$308.4K$0
    Ajay SinghPADiagnostic Radiology Physician$290.3K$6K
    Harish ManyamTNClinical Cardiac Electrophysiology Physician$244.5K$0
    Jeremiah JansenOKDiagnostic Radiology Physician$194.3K$0

    Nearby Providers

    Other providers in the same ZIP code as John Stanley, 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
    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

    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
    John Stanley — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee