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    OpenPayerNPI Medicare & MedicaidRussell Buchanan
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    Russell Buchanan — Billing Profile & Reimbursement Data

    NPI 1518908896 · Waterloo, IA · Neurological Surgery Physician

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    Russell Buchanan is a neurological surgery physician provider located in Waterloo, Iowa. This profile covers 8 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
    OrganizationRussell Buchanan
    Address2413 W Ridgeway Ave
    CityWaterloo
    StateIA
    ZIP50701
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$41K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$730$17.5K
    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…110$60$6.6K
    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…80$70$5.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$180$5.6K
    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.20$150$2.2K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…10$160$1.9K
    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…10$70$760
    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…10$50$740

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,6534,690100$70$14.4K
    63047224020$380$13.4K
    992132,1824,740100$50$8K
    22853142030$140$5.7K
    61783101030$140$5.4K
    63048313040$90$4.3K
    992032741,60030$60$3.2K
    9922114221020$60$1.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Exceptional Persons IncIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.3M
    Vgm Group, Inc.IADurable Medical Equipment & Medical Supplies$0$54.4M
    Goodwill Industries Of Ne Iowa IncIACommunity Based Hospice Care Agency$0$52.5M
    Veridian Fiscal Solutions LLCIACommunity/Behavioral Health Agency$0$47M
    North Star Community Services, IncIADevelopmentally Disabled Services Day Training Agency$0$26.7M
    Families First Counseling Services Of Iowa, L.L.C.IACommunity/Behavioral Health Agency$0$16.3M
    Resources For Human DevelopmentIACommunity/Behavioral Health Agency$0$13.1M
    Cedar Valley Community Support ServicesIADevelopmentally Disabled Services Day Training Agency$0$11.1M
    Vgm Group, Inc.IACase Management Agency$0$5.4M
    Pathways Behavioral Services IncIACommunity/Behavioral Health Agency$0$4.5M

    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. Iowa Distribution
    Russell Buchanan — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa