Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Glen Poffenbarger (NPI 1669469227)

Field	Value
Entity Type	Individual
Organization	Glen Poffenbarger
Address	3030 Big Horn Ave
City	Cody
State	WY
ZIP	82414
Taxonomy	Neurological Surgery Physician
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicare	$251.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is modest in scale: total Medicare revenue is $251.5K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available data. The absence of any Medicaid claims suggests the provider either does not see Medicaid patients or does not bill Medicaid, limiting visibility into dual‑payer mixes for payer strategy analysis.

Revenue is concentrated in a small set of services: the top 3 Medicare codes by revenue account for 35.8% of the provider’s total Medicare revenue. The single highest‑revenue code is 22612 ($32.9K, 13.1% of Medicare revenue), followed closely by 99215 ($32.1K, 12.8%) and 99204 ($25K, 9.9%), indicating that a few high‑impact codes drive a large share of income.

The code mix indicates a spine‑surgery and spine‑care practice with a heavy outpatient evaluation component. Multiple fusion and instrumentation codes (22612, 22614, 22840, 22842, 22845, 22853) appear in the top codes alongside high volumes of office E&M codes (99215, 99204, 99214, 99212), which together suggest a workflow combining surgical cases with substantial clinic follow‑up and new‑patient evaluations.

Clinical volume is skewed toward outpatient visits and injections by claim count: 99215 shows 255 claims, 99204 has 221 claims, 99212 has 244 claims, and the injection code 64483 appears on 241 claims. These counts, paired with the revenue shares above, imply a practice where frequent ambulatory encounters and interventional spine injections are important revenue drivers in addition to operative cases.

Competitive standing is mixed: for complex office and diagnostic visit codes the provider ranks well above peers nationally — 99215 ranks at the 95th percentile (#7863 of 145531) and 99204 is an extreme outlier at the 98th percentile (#3598 of 227068), indicating a nationally notable volume of high‑intensity visits. By contrast, key surgical procedure 22612 ranks in the 76th percentile (#450 of 1984), which is a typical, unremarkable surgical volume versus national peers; this suggests stronger national presence for clinic/E&M activity than for high‑end surgical throughput.

Several procedural codes are flagged as notably above typical national volume for interventional spine care: 64483 is at the 90th percentile and 64484 is at the 95th percentile, while 99212 is at the 96th percentile. These percentile placements indicate the provider performs transforaminal epidural injections and related outpatient procedures at volumes higher than most peers, reinforcing an interventional spine/pain component to the practice.

Although surgical codes generate meaningful revenue (22612 $32.9K; 22614 $13.7K; 22840 $16.8K), the mix of high‑volume E&M and injection codes means revenue is not dominated solely by OR cases. The top three codes alone contribute 35.8% of Medicare revenue, demonstrating a concentrated revenue profile that combines both procedural and ambulatory visit income streams.

The provider has long tenure in the Medicare program, with the NPI enumerated 2005‑09‑29 (~21 years ago), which provides a stable historical presence to contextualize current billing patterns. Longevity plus the observed high percentiles for outpatient E&M and injection codes suggests an established referral and clinic footprint in spine care despite a relatively modest total Medicare revenue base.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	30	$1,220	$32.9K
99215	The 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…	260	$130	$32.1K
99204	The 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…	220	$110	$25K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	240	$90	$21.7K
99214	The 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…	220	$90	$20.2K
22840	The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	30	$580	$16.8K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	50	$290	$13.7K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	30	$430	$12.9K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	80	$160	$12.5K
99212	The 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,…	240	$40	$10.5K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Glen Poffenbarger — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22612	1	10	30	$1,180	$31.9K
64483	5	20	90	$200	$29.3K
99214	214	780	100	$80	$14.8K
63047	5	10	30	$530	$13.7K
22614	3	10	50	$250	$12.8K
22840	1	10	20	$570	$11.9K
22600	1	10	10	$920	$10.1K
99213	678	850	110	$60	$9.9K
22845	1	10	20	$540	$9.2K
99215	9	220	40	$120	$8.3K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Mary Washington Healthcare Physicians	VA	Family Medicine Physician	$0	$13.3M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Mohit Nanda	VA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Ddsp, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Northern Wyoming Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$865.9K	$0
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Barry Welch	WY	Ophthalmology Physician	$430.2K	$0
Allen Gee	WY	Neurology Physician	$344K	$0

Glen Poffenbarger — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References