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    OpenPayerNPI Medicare & MedicaidJoel Phares
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    Joel Phares — Billing Profile & Reimbursement Data

    NPI 1467406314 · Nashville, TN · Cardiovascular Disease Physician

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    Joel Phares is a cardiovascular disease physician provider located in Nashville, Tennessee. This profile covers 35 Medicare and 5 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
    OrganizationJoel Phares
    Address3601 The Vanderbilt Clinic
    CityNashville
    StateTN
    ZIP37232
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$274.6K
    Medicaid$28.6K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…940$70$68.5K
    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…750$80$62.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…150$250$37.7K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,740$10$17.4K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose160$90$14.3K
    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…110$110$11.6K
    J2785Injection, regadenoson, 0.1 mg190$50$8.3K
    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…60$130$7.1K
    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…100$60$6.2K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…120$50$5.4K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921451811,370120$80$16.6K
    9330616590180$60$15.8K
    A95022770130$90$14K
    992321,8903,990100$60$11.4K
    J27854390160$40$11.3K
    784526738070$120$11.2K
    992231,2133,13040$120$8K
    992138,51811,03080$50$8K
    9345820025030$180$7.7K
    992045555,49030$100$5.3K

    Showing 1–10 of 35

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…650$30$22.2K
    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…130$30$3.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…350$10$2.4K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…10$10$90
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…10$1$50

    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

    5 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…2,7763,760610$40$202.3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…110240510$50$125.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…149370180$10$12.8K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…6060130$10$3.5K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…5460130$10$3.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vanderbilt University Medical CenterTNInternal Medicine Physician$0$189.5M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$137.7M
    Vanderbilt University Medical CenterTNMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Vanderbilt University Medical CenterTNGeneral Acute Care Hospital$0$8M
    Antonia KolokythasTNOral and Maxillofacial Surgery (Dentist)$0$5.9M
    Vanderbilt Integrated Providers, LLCTNFamily Medicine Physician$0$4.3M
    Anita AgarwalCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Heather TamezMDRetina Specialist (Ophthalmology) Physician$1.3M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Kenneth NiermannTNRadiation Oncology Physician$625.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Han-chih ChangTNRadiation Oncology Physician$2.6M$0
    Emily CarpenterTNNurse Practitioner$747.9K$0
    Stephen KimTNOphthalmology Physician$608.9K$0
    Corbin JohnsonTNRadiation Oncology Physician$577.1K$0
    Avni FinnTNOphthalmology Physician$504.5K$0
    Dinesh GuptaTNCardiovascular Disease Physician$397.9K$80.2K
    Dong KimTNRadiation Oncology Physician$469.4K$0
    Anthony CmelakTNRadiation Oncology Physician$391.9K$0
    Ryszard DworskiTNAllergy & Immunology Physician$376.5K$2.4K
    Nathan PodollTNOphthalmology Physician$363.9K$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
    Joel Phares — 5 of 25 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
    Joel Phares — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee