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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdwin Risenhoover
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    Edwin Risenhoover — Billing Profile & Reimbursement Data

    NPI 1669421822 · Loveland, CO · Family Medicine Physician

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    Edwin Risenhoover is a family medicine physician provider located in Loveland, Colorado. This profile covers 12 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
    OrganizationEdwin Risenhoover
    Address2923 Ginnala Dr
    CityLoveland
    StateCO
    ZIP80538
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 8, 2006

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

    Payer SourceTotal Paid
    Medicare$42.2K
    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.

    12 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…430$40$17.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…70$70$4.8K
    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…110$40$4.1K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit50$70$3.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…10$280$3.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$50$2.5K
    G0008Administration of influenza virus vaccine70$30$2.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$60$1.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$70$1.4K
    G0009Administration of pneumococcal vaccine20$30$740

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9067777492020$270$15.4K
    906624361,23040$70$15.2K
    992144868,16080$80$11.3K
    992151,8763,23040$110$8.1K
    G00086191,83040$30$7.4K
    G04399521,90050$90$7K
    992132,3647,20070$60$6.6K
    G0438825020$140$3K
    994956421020$110$2K
    8303616165030$10$1.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harshad AminFLHematology & Oncology Physician$876.9K$0
    Tera SabatinoCOFamily Nurse Practitioner$805.8K$0
    Kirk KindsfaterCOAdult Reconstructive Orthopaedic Surgery Physician$731K$0
    Mark HowsharWYBody Imaging Physician$478.7K$0
    Peter SheddenTXNeurological Surgery Physician$429.6K$0
    Banner Health Physicians West LLCWYMulti-Specialty Clinic/Center$0$368.9K
    Christy YoungCONeurology Physician$323.7K$0
    William HowarthCOOrthopaedic Surgery Physician$296.3K$0
    Douglas TangelCOPulmonary Disease Physician$276.3K$0
    Anthony BarberCOSleep Medicine (Psychiatry & Neurology) Physician$262.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tender Care Pediatric Services, IncCODurable Medical Equipment & Medical Supplies$0$38.3M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$30.4M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    North Colorado Medical CenterCOGeneral Acute Care Hospital$0$8.2M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Summit PathologyCOClinical Medical Laboratory$670.1K$4.3M
    Medical Center Of The RockiesCOGeneral Acute Care Hospital$0$4.8M
    Ryan WolfCOPhysician Assistant$4.6M$0
    Thompson Valley Emergency Medical Services IncCOLand Ambulance$1.1M$3.3M
    Summit PathologyCOAnatomic Pathology & Clinical Pathology Physician$0$4.4M

    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. Colorado Distribution
    Edwin Risenhoover — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado