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

    NPI 1548431158 · Kirkland, WA · Orthopaedic Surgery Physician

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    Jonathan Hall is a orthopaedic surgery physician provider located in Kirkland, Washington. This profile covers 16 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
    OrganizationJonathan Hall
    Address12911 120th Ave Ne
    CityKirkland
    StateWA
    ZIP98034
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 22, 2008

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

    Payer SourceTotal Paid
    Medicare$61.5K
    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.

    16 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…120$100$11.9K
    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…140$70$9.7K
    28730In this procedure, the provider surgically immobilizes multiple or transverse midtarsal or tarsometatarsal joints with the help of fixation devices. Midtarsal joints are combined joints of either the…10$620$7.4K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.240$30$6.8K
    20670Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, or wires, to join skeletal parts and maintain their normal alignment as healing…20$290$4.7K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.20$190$4.4K
    28289In this procedure, the provider surgically corrects a hallux rigidus deformity without the need for an implant. Hallux rigidus is pain and stiffness due to arthritis, or inflammation in the…10$290$3.2K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…10$270$3.2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.70$30$2.3K
    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…20$120$2.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2873021010$3,150$37.8K
    28285163030$480$17.4K
    20680202020$590$15.3K
    992144,67410,860100$80$13.6K
    2067021030$250$7K
    992132,3149,69060$60$6.5K
    7372115821030$90$5.4K
    992043,4494,75030$110$5.2K
    992031,6983,14030$70$3.3K
    2828911010$290$3.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$2.4M$680
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$1.7M$0
    Proliance Surgeons Inc PsWAAmbulatory Surgical Clinic/Center$1.4M$0
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$1.3M$0
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$1.1M$24.2K
    The Retina Surgery Center LLCWAAmbulatory Surgical Clinic/Center$1.1M$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$830.4K$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$793.8K$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$617.8K$0
    Stacia SmithWAOrthopaedic Surgery Physician$324.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    King County Public Hospital District No. 2WAGeneral Acute Care Hospital$0$31.5M
    Bhc Fairfax Hospital Inc.WAPsychiatry Physician$0$9M
    Evergreen Emergency Services, PsWAEmergency Medicine Physician$0$4.1M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.5M
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$497.1K$2.4K
    Harry YuWACardiovascular Disease Physician$254.6K$0
    Sarah DickWADermatology Physician$250.1K$0
    William ShoupWAFamily Medicine Physician$197.4K$0
    Adam RothenbergWAOrthopaedic Surgery Physician$184.2K$0
    Hao WangWADermatology Physician$179.6K$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
    Jonathan Hall — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington