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    OpenPayerNPI Medicare & MedicaidCarrie Mihordin
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    Carrie Mihordin — Billing Profile & Reimbursement Data

    NPI 1548458672 · Overland Park, KS · Rheumatology Physician

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    Carrie Mihordin is a rheumatology physician provider located in Overland Park, Kansas. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarrie Mihordin
    Address5701 W 119th St
    CityOverland Park
    StateKS
    ZIP66209
    TaxonomyRheumatology Physician
    NPI EnumeratedOctober 15, 2007

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer at the public program level: total Medicare revenue is $1.5M and there is no Medicaid billing on file, so Medicaid does not contribute to this profile and the practice’s public‑payer exposure is concentrated in Medicare. Analysts should treat Medicaid network presence as absent rather than low.

    Revenue is highly concentrated in a small set of biologic infusion/administration codes: the precomputed top 3 Medicare codes account for 63.9% of the provider’s total Medicare revenue, driven by J0129 ($383.9K, 25.7%), J3262 ($304K, 20.3%), and J0717 ($267.4K, 17.9%). This concentration indicates the practice’s economics are dependent on high‑cost injectable biologics rather than office E/M visits.

    The CPT/HCPCS mix is consistent with a rheumatology practice operating an infusion/administration service line: leading codes are J0129 (abatacept), J3262 (tocilizumab), J0717 (certolizumab pegol), and J1602 (golimumab), plus infliximab (J1745). These are physician‑administered biologic therapies commonly used in rheumatologic care, indicating on‑site drug administration and infusion capability is a material part of how the provider generates revenue.

    Despite the high dollar share of biologics, the provider’s national competitive standing on those drugs is modest rather than dominant. J0129 ranks #403 of 1221 (67th percentile; typical, unremarkable volume for this code), J3262 ranks #175 of 618 (72th percentile; typical, unremarkable volume for this code), and J0717 ranks #271 of 848 (68th percentile; typical, unremarkable volume for this code), which together point to above‑median but not top‑tier volume nationally.

    Other infusion and chemotherapy administration codes appear in the mix at non‑trivial rank percentiles even though their revenue shares are small, suggesting operational capability beyond routine office visits. For example, 96413 accounts for $45.4K (3.0% of Medicare revenue) and ranks #789 of 7514 (89th percentile; typical, unremarkable volume for this code), and 96401 accounts for $20.4K (1.4%) and ranks #403 of 3868 (90th percentile; typical, unremarkable volume for this code), indicating the practice bills for antineoplastic/infusion administration at higher percentile ranks despite limited dollars.

    Office evaluation-and-management visits and standard injection codes contribute relatively little to revenue compared with biologics: 99214 generates $38.8K (2.6%) and 99213 generates $9.3K (0.6%), while smaller injectable steroid codes such as J3301 and J2930 appear at low rank percentiles and negligible revenue. This pattern reinforces that the business model centers on high‑priced biologic drug administration rather than volume of routine office visits.

    Several codes sit near the lower end of national percentile distributions, reflecting specific low‑volume billing lines that could be ancillary to the core infusion practice. For example, 96375 reports $297 (0.0%) and ranks #4797 of 5191 (7th percentile; typical, unremarkable volume for this code), J3301 reports $90 (0.0%) and ranks #25480 of 38702 (34th percentile; typical, unremarkable volume for this code), and J2930 reports $56 (0.0%) and ranks #2105 of 2459 (10th percentile; typical, unremarkable volume for this code).

    The provider’s enrollment/tenure is long‑standing: NPI enumerated on 2007-10-15 (~19 years ago), indicating an established presence in the market which may support continued payer relationships and negotiated arrangements for infusion services. This tenure combined with a biologic‑heavy revenue mix suggests a stable specialist practice focused on administered therapies.

    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
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,290$30$383.9K
    J3262Injection, tocilizumab, 1 mg60,800$10$304K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)66,840$1$267.4K
    J1602Injection, golimumab, 1 mg, for intravenous use21,100$10$211K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,760$30$149.8K
    J0897Injection, denosumab, 1 mg3,240$20$61.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…470$100$45.4K
    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$100$38.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.380$50$20.4K
    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$9.3K

    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
    J01294208,000$30$291.5K
    J326261060,820$1$243K
    J071731051,600$1$200.4K
    J160242014,360$10$167.7K
    J17456203,110$30$96.9K
    J0897611802,160$20$81.5K
    96413208080$90$26.3K
    992147184,310120$70$16.4K
    96401330180$50$9K
    992131,5434,33090$50$8.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarah VodopestKSRheumatology Physician$1.5M$0
    Jonathan AmosKSRheumatology Physician$951.5K$0
    Robyn MoranKSRheumatology Physician$859.1K$0
    Jaymi AnsonKSFamily Nurse Practitioner$120.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lamar Court Assisted LivingKSAssisted Living Facility$0$3.4M
    Mid-america Surgery Institute LLCKSAmbulatory Surgical Clinic/Center$1.4M$0
    Thomas HockerKSMOHS-Micrographic Surgery Physician$1.1M$0
    Midwest Heart & Vascular Specialists, LLCKSCardiovascular Disease Physician$0$1M
    Playabilities For Sensational Kids, LLCKSPediatric Occupational Therapist$0$790.8K
    Ads Healthcare LLCKSAmbulatory Surgical Clinic/Center$734K$0
    Michael SokolKSEndocrinology, Diabetes & Metabolism Physician$368.5K$0
    Cameron LedfordKSOrthopaedic Surgery Physician$304.4K$0
    Daniel KlosterKSInterventional Pain Medicine Physician$291.3K$0
    Rachel SoslandKSCardiovascular Disease Physician$248K$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. Kansas Distribution
    Carrie Mihordin — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas