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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Carlson
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    Jeffrey Carlson — Billing Profile & Reimbursement Data

    NPI 1518029347 · Newport News, VA · Orthopaedic Surgery of the Spine Physician

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    Jeffrey Carlson is a orthopaedic surgery of the spine physician provider located in Newport News, Virginia. This profile covers 46 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
    OrganizationJeffrey Carlson
    Address250 Nat Turner Blvd S
    CityNewport News
    StateVA
    ZIP23606
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedDecember 15, 2006

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

    Payer SourceTotal Paid
    Medicare$593.3K
    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.

    46 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…1,470$70$95.5K
    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…850$70$60.1K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…50$1,230$55.5K
    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…410$90$37.5K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.680$50$31.4K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…100$300$31.2K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose490$60$28.1K
    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…210$120$25K
    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…50$450$22.4K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…40$600$22.1K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744726831040$1,150$64.4K
    992142,60512,890140$80$21K
    2261276020$830$18.2K
    22551365020$960$16.3K
    22614108050$220$13.8K
    J7321550100$60$13K
    6304211020$740$11.8K
    63047611020$470$11.8K
    J7324536080$100$11K
    20611523060$70$10.5K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark McfarlandVAOrthopaedic Surgery of the Spine Physician$880.5K$0
    Boyd HaynesVAOrthopaedic Surgery Physician$599.5K$0
    Raj SurejaVAInterventional Pain Medicine Physician$555.8K$0
    John David BurrowVAOrthopaedic Surgery Physician$425.4K$0
    Jenny AndrusVAInterventional Pain Medicine Physician$344.9K$0
    Martin ColemanVAOrthopaedic Surgery Physician$180K$0
    Robert SnyderVAOrthopaedic Surgery Physician$174.5K$0
    James KoskeVAOrthopedic Physical Therapist$140.5K$0
    Paige BoykinOHPhysical Therapist$115.8K$0
    Joel StewartVAOrthopaedic Foot and Ankle Surgery Physician$85.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Counseling Group, IncVAMental Health Counselor$0$25.9M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$20M
    Care Advantage, IncVAHome Health Agency$0$17.4M
    Behavior Health & Wellness Center, LLCVABehavior Analyst$0$15.8M
    Personal Touch Home Care Of Va, IncVAHome Health Agency$0$14.6M
    Odyssey Community Services IncVACommunity/Behavioral Health Agency$0$14.4M
    Hope In-home Care LLCVAHome Health Agency$0$10.2M
    1life1love, Inc.VACommunity/Behavioral Health Agency$0$9.2M
    Beyond Disabilities, LLCVADevelopmentally Disabled Services Day Training Agency$0$7.9M
    Childrens Medical Group IncVAPediatrics Physician$0$7.1M

    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
    Jeffrey Carlson — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia