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 & MedicaidClinton Howard
    Ask Trek AI about this page

    Clinton Howard — Billing Profile & Reimbursement Data

    NPI 1508954801 · Mobile, AL · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Clinton Howard — 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.

    Clinton Howard is a orthopaedic surgery physician provider located in Mobile, Alabama. This profile covers 14 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
    OrganizationClinton Howard
    Address6144 Airport Blvd
    CityMobile
    StateAL
    ZIP36608
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 11, 2006

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

    Payer SourceTotal Paid
    Medicare$126.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…990$90$87.4K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…420$30$11.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$570$6.9K
    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…50$120$6.3K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.30$150$4K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.110$30$2.9K
    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$2.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…180$10$1.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.5K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…40$30$1.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141747,330120$80$16.8K
    63047718020$420$8.7K
    992134,5786,47080$50$7.9K
    2061037560060$50$5.1K
    992041,0343,75030$100$4.8K
    63048244030$100$3.1K
    992031,8512,21030$70$3.1K
    7350233359040$20$1.1K
    963724562,50070$10$1.1K
    72100162030$20$900

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic Group, PCALSpecialist$0$1.4M
    Vanna EslavaALFamily Nurse Practitioner$391.6K$0
    Michael BlackmerALAdult Reconstructive Orthopaedic Surgery Physician$239K$0
    Robert BairdALOrthopaedic Surgery Physician$200.3K$0
    Charles WilsonALSports Medicine (Orthopaedic Surgery) Physician$199.7K$0
    Michael EslavaALSports Medicine (Orthopaedic Surgery) Physician$191.1K$0
    James SpainALSports Medicine (Family Medicine) Physician$176.4K$0
    Matthew BarberALOrthopaedic Surgery Physician$168.8K$0
    James WestALOrthopaedic Surgery of the Spine Physician$165.9K$0
    Jacob KidderALOrthopaedic Surgery Physician$151.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Medical Group, P.A.ALSpecialist$0$7.4M
    Coast Diagnostics, LLCALClinical Medical Laboratory$275.1K$5.7M
    Springhill Hospitals, IncALGeneral Acute Care Hospital$0$5.3M
    Pulmonary Associates Of Mobile PCALPulmonary Disease Physician$0$5.3M
    Providence HospitalALGeneral Acute Care Hospital$0$4.8M
    Alabama Providence Healthcare ServicesALInternal Medicine Physician$0$4.7M
    University Of South Alabama Health Care AuthorityALInternal Medicine Physician$0$3.9M
    Mobile Emergency Physicians, LLCALEmergency Medicine Physician$0$3.3M
    Imc-pediatric & Adolescent Medicine, LLCALPediatric Adolescent Medicine Physician$0$3.3M
    Springhill Emergency Physicians, PCALEmergency Medicine Physician$0$3.2M

    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. Alabama Distribution
    Clinton Howard — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama