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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Caldwell
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    Joseph Caldwell — Billing Profile & Reimbursement Data

    NPI 1477919934 · Lexington, KY · Certified Registered Nurse Anesthetist

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    Joseph Caldwell is a certified registered nurse anesthetist provider located in Lexington, Kentucky. This profile covers 5 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
    OrganizationJoseph Caldwell
    Address1221 S Broadway
    CityLexington
    StateKY
    ZIP40504
    TaxonomyCertified Registered Nurse Anesthetist
    NPI EnumeratedJanuary 13, 2016

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

    Payer SourceTotal Paid
    Medicare$15.5K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00670The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…10$430$5.2K
    01924The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arterial system. This code is used for anesthesia procedures not…30$180$4.9K
    01270The provider performs anesthesia services for a patient undergoing a procedure on the arteries of the upper leg that includes placement of a bypass graft.10$300$3.3K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…10$110$1.5K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…20$30$650

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00670456010$280$5.2K
    0127011010$300$3.3K
    0192411020$170$3K
    0073152272020$80$2.3K
    366209721020$30$750

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oliver JamesKYPain Medicine (Anesthesiology) Physician$321.1K$0
    Betty SandlinKYCertified Registered Nurse Anesthetist$66.9K$0
    David DuffKYCertified Registered Nurse Anesthetist$57.2K$0
    Michael KaplanNYAnesthesiology Physician$50.4K$0
    Jana WilliamsonKYCertified Registered Nurse Anesthetist$42.1K$0
    Philip KoerperKYAnesthesiology Physician$36.1K$0
    Ruth TaylorKYCertified Registered Nurse Anesthetist$34.2K$0
    Susan PowersKYCertified Registered Nurse Anesthetist$33.4K$0
    Joseph PayneKYCertified Registered Nurse Anesthetist$31.5K$0
    Thelma HettlerKYCertified Registered Nurse Anesthetist$29.6K$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. Kentucky Distribution
    Joseph Caldwell — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky