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 & MedicaidTerrance Blackford
    Ask Trek AI about this page

    Terrance Blackford — Billing Profile & Reimbursement Data

    NPI 1588750509 · Louisville, KY · Urology Physician

    Customize your policy alerts

    Sign up for Terrance Blackford — 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.

    Terrance Blackford is a urology physician provider located in Louisville, Kentucky. This profile covers 36 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
    OrganizationTerrance Blackford
    Address1900 Bluegrass Ave
    CityLouisville
    StateKY
    ZIP40215
    TaxonomyUrology Physician
    NPI EnumeratedOctober 5, 2006

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

    Payer SourceTotal Paid
    Medicare$261.3K
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1952Leuprolide injectable, camcevi, 1 mg1,180$60$72.9K
    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…520$80$43.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…590$40$25.4K
    J0897Injection, denosumab, 1 mg1,200$20$20.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…130$90$11.8K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…60$180$10K
    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,…210$40$7.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$130$6.7K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…160$40$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$5.5K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J19522101,180$60$66.9K
    J089769802,280$20$59.6K
    52000179070$140$17.4K
    992145687,230110$70$14.1K
    9949032290170$30$11.9K
    992322,0912,860100$60$11.6K
    52310133020$340$10.3K
    52356345020$400$8.8K
    992237761,94040$130$8.6K
    992134,2867,25080$50$7.7K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson County Schneck Memorial HospitalINGeneral Acute Care Hospital$0$17.8M
    Norton - Kings Daughters Health IncINFamily Medicine Physician$0$11.8M
    Norton - Kings Daughters Health, IncINGeneral Acute Care Hospital$0$8.9M
    Jackson County Schneck Memorial HospitalINAnesthesiology Physician$0$8M
    First Urology, PscINUrology Physician$0$5.6M
    Matthew ForsthoefelDCRadiation Oncology Physician$1.1M$0
    David MusichINRadiation Oncology Physician$1.1M$0
    Lawrence HochmanINRadiation Oncology Physician$1.1M$0
    Naveed ChowhanINHematology & Oncology Physician$910.4K$0
    Ryan MaloneINUrology Physician$784.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Landmark Recovery Of Kentucky LLCKYSubstance Abuse Rehabilitation Facility$0$21.1M
    Behavior Analysts Of Texas, LLCKYBehavior Analyst$0$13.1M
    Eye Centers Of Louisville,pscKYOphthalmology Physician$0$7.5M
    Vip Imaging, PLLCKYDiagnostic Radiology Physician$0$5.3M
    Inder SingalKYOphthalmology Physician$4M$151.3K
    Steven BloomKYOphthalmology Physician$2.3M$232K
    Janelle AdeniranKYOphthalmology Physician$1.8M$3.4K
    Lewis HargettKYPhysical Medicine & Rehabilitation Physician$103.6K$685.6K
    Denise DickinsonKYDermatology Physician$632.7K$0
    John MillinKYOphthalmology Physician$457.5K$43.5K

    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. Kentucky Distribution
    Terrance Blackford — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky