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    OpenPayerNPI Medicare & MedicaidStephen Johnson
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    Stephen Johnson — Billing Profile & Reimbursement Data

    NPI 1588787899 · Athens, GA · Sports Medicine (Orthopaedic Surgery) Physician

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    Stephen Johnson is a sports medicine (orthopaedic surgery) physician provider located in Athens, Georgia. This profile covers 19 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
    OrganizationStephen Johnson
    Address1765 Old West Broad St
    CityAthens
    StateGA
    ZIP30606
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedApril 10, 2007

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

    Payer SourceTotal Paid
    Medicare$179.6K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…40$1,100$44.9K
    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…410$60$25.2K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$790$22K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…50$420$21K
    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…210$80$17.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…190$50$8.9K
    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…80$110$8.9K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$360$6.8K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…30$240$6.3K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.190$20$4.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298272011020$1,100$22.1K
    2982893020$1,110$21.1K
    2347299020$820$18.1K
    992144,44513,640120$80$17.8K
    2988013020$720$13K
    992131,21413,36080$60$9.2K
    2982495020$330$6.6K
    206102691,32060$50$5.8K
    29823154020$290$5.1K
    992041,1087,26030$110$5.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John ManfrediGAOrthopaedic Surgery Physician$480.6K$0
    Michael ShulerGAOrthopaedic Hand Surgery Physician$340.7K$0
    William TallyGAOrthopaedic Surgery Physician$265.9K$0
    Mitchel LeavittGAPhysical Medicine & Rehabilitation Physician$261.2K$0
    Julian PriceGAOrthopaedic Surgery Physician$258.7K$0
    David JoslynGAPhysician Assistant$252.9K$0
    Ormonde MahoneyGAOrthopaedic Surgery Physician$234.9K$0
    John DorrisGAOrthopaedic Surgery Physician$190.1K$0
    Larry ShumanGAPhysician Assistant$180.8K$0
    Lee SullivanGAAcute Care Nurse Practitioner$171K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Athens Kids Specialists, PCGAPediatrics Physician$0$5.2M
    Reddy Urgent Care LLCGAUrgent Care Clinic/Center$0$2.6M
    Jeremy WellsGAHematology & Oncology Physician$1.5M$0
    Subodh AgrawalGACardiovascular Disease Physician$1.1M$0
    Athens Spine Procedural Center LLCGAAmbulatory Surgical Clinic/Center$1.1M$0
    Athens Orthopedic Clinic Ambulatory Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$1.1M$0
    Trinity Ems Transport LLCGALand Ambulance$1.1M$0
    Gordon SchoenfeldGARadiation Oncology Physician$834K$0
    Cole SteberGARadiation Oncology Physician$776.6K$0
    Ronald TerryGARadiation Oncology Physician$600.6K$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. Georgia Distribution
    Stephen Johnson — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia