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    OpenPayerNPI Medicare & MedicaidJohn Watkins
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    John Watkins — Billing Profile & Reimbursement Data

    NPI 1558450841 · Bismarck, ND · Radiation Oncology Physician

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    John Watkins is a radiation oncology physician provider located in Bismarck, North Dakota. This profile covers 29 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
    OrganizationJohn Watkins
    Address500 N 8th St
    CityBismarck
    StateND
    ZIP58501
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedOctober 12, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    Provider profile and tenure: JOHN WATKINS is enumerated with an NPI since 2006-10-12 (~20 years ago), indicating long-standing participation in Medicare payment systems and an established radiation oncology practice in BISMARCK, ND. The provider taxonomy is Radiation Oncology Physician, which aligns with the codes and services reported on Medicare.

    Revenue scale and payer mix: This provider’s lifetime Medicare revenue is $1M and there is no Medicaid billing on file (none), making the practice effectively single-payer in Medicaid terms and heavily reliant on Medicare for recorded public-payer revenue. That concentration has implications for payer contracting exposure and Medicaid-network reach.

    Revenue concentration among procedures: The top three Medicare codes (G6015, 77014, 77301) together account for 58.7% of this provider’s total Medicare revenue, indicating a focused revenue base driven by a small set of radiation-delivery and planning services. In particular, G6015 ($370K, 1.3K claims) is the single largest revenue driver, supported by substantial claim volume and per-claim payments.

    Service-line implications: The dominant codes (G6015, 77301, 77373, 77427 and multiple planning/physics codes such as 77336, 77334, 77295) point to an operation centered on advanced external-beam radiation therapy workflows — IMRT planning/delivery, stereotactic body radiation therapy, simulation and ongoing medical physics support. The presence of 55874 ($37.8K) also suggests occasional prostate-specific procedures (spacer insertion) consistent with localized prostate radiotherapy services.

    Competitive standing on top technical codes: For the largest code, G6015 ranks #235 of 1429 providers (84th percentile), placing the provider well above median national peers for this delivery code but still described in the data as a typical, unremarkable volume profile for the modality. Other high-revenue codes show mixed national standings: 77014 ranks #346 of 4303 (92th percentile) and 77301 ranks #864 of 3815 (77th percentile), indicating upper-percentile volume on several core radiation services while overall not appearing as a dominant national outlier.

    Notable E/M activity relative to peers: Evaluation and management code 99205 shows a high national standing (100 claims, $17.3K revenue; rank #3149 of 66257 providers, 95th percentile) and is labeled notably above typical national volume, suggesting comparatively strong new-patient consult or high-complexity visit activity alongside the radiation-treatment business. This may reflect referral patterns or a role as a receiving specialist for complex cases.

    Typical volumes for supportive technical codes: Many planning, simulation, and physics-support codes (for example 77336 rank 77th percentile; 77295 rank 86th percentile; 77338 rank 85th percentile) are in the upper-middle percentiles but are described as typical, unremarkable volumes, consistent with a busy therapeutic radiation practice that provides comprehensive planning and physics services without extreme outlier activity.

    Implications for payers and competitors: Given the $1M Medicare revenue, heavy concentration in a few technical radiation-delivery codes (58.7% from the top three), and no Medicaid billing, this provider represents a specialized, Medicare-centric radiation oncology operator in the region. Payers evaluating network value or utilization risk should view this provider as an experienced regional radiation therapy practitioner with upper-percentile delivery volumes on key IMRT/SBRT codes, a concentrated revenue base, and limited direct Medicaid exposure based on the available billing file.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,270$290$370K
    77014N/A1,340$100$130.2K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…60$1,480$87.6K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…100$810$79.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…290$150$43.9K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…20$2,360$37.8K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…80$370$29.8K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev130$190$25.4K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…310$70$21.6K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.220$90$19.7K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60152101,270$290$405.3K
    77373310100$820$78.3K
    77014310900$60$57.8K
    7730171060$690$41.6K
    G6012310170$190$32.4K
    77427310160$150$28.5K
    7728041050$180$25.9K
    5587441020$990$18.8K
    77336210290$70$17.4K
    7733851070$250$16.7K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Health Of Northern MinnesotaMNRural Acute Care Hospital$0$47.6M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Sanford Health Of Northern MinnesotaMNMental Health Clinic/Center (Including Community Mental Health Center)$0$15.1M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enable, Inc.NDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$40.8M
    Heartview FoundationNDSubstance Use Disorder Rehabilitation Clinic/Center$0$13.6M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Bismarck Public Schools Early InterventionNDEarly Intervention Provider Agency$0$12M
    West Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    D. Michael Goebel D.d.s., PCNDPediatric Dentistry$0$5.8M
    Poppy's Promise LLCNDCommunity/Behavioral Health Agency$0$5.6M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    St. Alexius Medical CenterNDSpecialist$0$3.6M
    Lasting Love HomecareNDIn Home Supportive Care Agency$0$3.6M

    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. North Dakota Distribution
    John Watkins — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota