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    OpenPayerNPI Medicare & MedicaidJonathan Buchanan
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    Jonathan Buchanan — Billing Profile & Reimbursement Data

    NPI 1508185794 · Sioux Falls, SD · Sports Medicine (Internal Medicine) Physician

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    Jonathan Buchanan is a sports medicine (internal medicine) physician provider located in Sioux Falls, South Dakota. This profile covers 20 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 6

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJonathan Buchanan
    Address911 E 20th St Ste 300
    CitySioux Falls
    StateSD
    ZIP57105
    TaxonomySports Medicine (Internal Medicine) Physician
    NPI EnumeratedMay 27, 2010

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

    Payer SourceTotal Paid
    Medicare$89.6K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…260$80$20K
    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…270$60$16.4K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.220$60$12.7K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose90$100$8.5K
    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…100$80$7.9K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg720$10$5.8K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…230$20$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…50$90$4.2K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.40$40$1.6K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…20$60$1.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0981,66090$70$11.4K
    J73258101,080$10$10.9K
    J732411090$90$8.4K
    992131941,71080$50$6.4K
    6464011060$80$5.7K
    2061114050$50$3.6K
    992036360030$60$2.9K
    20552132030$30$1.7K
    7694226030$30$1.5K
    2060641020$60$1.3K

    Showing 1–10 of 20

    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. South Dakota Distribution
    Jonathan Buchanan — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota