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    OpenPayerNPI Medicare & MedicaidJohn Pearson
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    John Pearson — Billing Profile & Reimbursement Data

    NPI 1497731343 · South Hill, VA · Urology Physician

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    John Pearson is a urology physician provider located in South Hill, Virginia. This profile covers 17 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 Pearson
    Address1755 N Mecklenburg Ave
    CitySouth Hill
    StateVA
    ZIP23970
    TaxonomyUrology Physician
    NPI EnumeratedDecember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$124.1K
    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.

    17 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…500$60$31.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg170$130$21.6K
    53850Microwave thermotherapy is a treatment method that uses heat to destroy abnormal tissue. It is used to treat benign prostatic hypertrophy (BPH), a condition in which the prostate becomes enlarged due…20$1,050$18.8K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$170$15.1K
    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…140$80$10.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$440$6.2K
    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…40$100$4.2K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.40$80$3.5K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$60$3K
    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…40$60$2.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J921749130140$130$23.9K
    9921410,14612,890140$80$21K
    5385011020$1,050$18.8K
    50590233020$630$16.4K
    5200010622080$170$16K
    992323,0414,46080$60$11K
    9921385212,44090$60$10K
    992046,1706,85040$110$5.9K
    992033634,92030$70$3.8K
    768724112030$60$2.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Commonwealth University Health System AuthorityVAGeneral Acute Care Hospital$0$658.3M
    Mcv Associated PhysiciansVAAnesthesiology Physician$0$99M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Nicholas MaruniakFLAnatomic Pathology & Clinical Pathology Physician$5.5M$0
    Nicolas ZouainFLRadiation Oncology Physician$2.4M$0
    Michael ChancellorFLRadiation Oncology Physician$2.3M$0
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Yevgeniy ShildkrotVAOphthalmology Physician$1.5M$0
    Paul JoFLSpecialist$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Memorial HospitalVAGeneral Acute Care Hospital$0$35.6M
    Personal Homecare IncVAIn Home Supportive Care Agency$0$6.8M
    Graham PowersVAFamily Medicine Physician$480.3K$50.1K
    David PowersVAFamily Medicine Physician$321.4K$110.5K
    Linda PowersVAEndocrinology, Diabetes & Metabolism Physician$370.3K$0
    Danita ReeseVAPodiatrist$128.2K$94.2K
    Kimball KindleyVADermatology Physician$182.5K$0
    Robert PowellVAFamily Nurse Practitioner$127.1K$0
    Charles FergesonVAChiropractor$47.2K$0
    Christopher AlexanderVAFamily Medicine Physician$40.9K$4.5K

    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. Virginia Distribution
    John Pearson — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia