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 & MedicaidAlan Clark
    Ask Trek AI about this page

    Alan Clark — Billing Profile & Reimbursement Data

    NPI 1538196134 · Mount Vernon, WA · Physician Assistant

    Customize your policy alerts

    Sign up for Alan Clark — 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.

    Alan Clark is a physician assistant provider located in Mount Vernon, Washington. 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.

    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
    OrganizationAlan Clark
    Address1401 S Laventure Rd
    CityMount Vernon
    StateWA
    ZIP98274
    TaxonomyPhysician Assistant
    NPI EnumeratedJune 27, 2006

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

    Payer SourceTotal Paid
    Medicare$57.4K
    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
    J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg580$20$9.3K
    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…100$80$7.2K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$130$7K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…50$130$6.2K
    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…70$60$4.1K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose40$100$3.8K
    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$70$3.8K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg340$10$2.7K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…10$180$2.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…60$40$2.2K

    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
    274476932030$1,190$46.3K
    27446152020$2,200$44K
    271304523030$1,060$37.1K
    22633345020$850$19.6K
    J7331510840$10$16.4K
    992147,43510,860100$80$13.6K
    J732585901,390$10$11.1K
    J7324152060$100$7.3K
    206115117050$80$6.9K
    992134,2749,69060$60$6.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PeacehealthWAGeneral Acute Care Hospital$0$81.6M
    Prosser Public Hospital District Of Benton CountyWACritical Access Hospital$0$50.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    PeacehealthWARural Acute Care Hospital$0$47.1M
    PeacehealthAKCritical Access Hospital$0$34.3M
    PeacehealthWAInternal Medicine Physician$0$26.1M
    PeacehealthWASurgery Physician$0$13.5M
    PeacehealthWAMulti-Specialty Clinic/Center$0$12.4M
    Clallam County Public Hospital District No 1WACritical Access Hospital$0$10.7M
    Chelan County Public Hospital District No 2WACritical Access Hospital$0$9.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Public Hospital Dist No 1 SkagitWAGeneral Acute Care Hospital$0$88.6M
    Public Hospital Dist No 1 SkagitWAGeneral Practice Physician$0$24.7M
    Skagit Pediatrics, LLPWAPediatrics Physician$0$6M
    Eye Associates Surgery Center IncWAAmbulatory Surgical Clinic/Center$839.9K$44.4K
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$793.8K$0
    Stacia SmithWAOrthopaedic Surgery Physician$324.7K$0
    Dawei LuWAOrthopaedic Surgery of the Spine Physician$264.1K$0
    Navdeep DhaliwalWAInternal Medicine Physician$248.8K$12.2K
    Carlindo Da Reitz PereiraWAOphthalmology Physician$230.4K$0
    Michal WhitonWARadiation Oncology Physician$229.5K$0

    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. Washington Distribution
    Alan Clark — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington