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

    NPI 1679549570 · Sanatoga, PA · Plastic and Reconstructive Surgery Physician

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    John Louis is a plastic and reconstructive surgery physician provider located in Sanatoga, Pennsylvania. This profile covers 22 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 Louis
    Address900 Heritage Dr Ste 920
    CitySanatoga
    StatePA
    ZIP19464
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$351.7K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…130$590$77K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.70$680$50.1K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.70$610$43.1K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.80$530$41.4K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…60$720$39.7K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.20$850$19.6K
    14001The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to…30$620$16.8K
    14000In an adjacent tissue transfer (ATT) of the trunk, the provider transfers a skin part to another skin segment on the trunk.  This code is for an ATT 10 cm2 in size or less.30$510$16.2K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.20$760$13.6K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.90$60$5.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1402032040$530$32.5K
    1402142020$650$29.5K
    1404034020$570$27K
    1404164020$720$23.7K
    14061203020$760$21.3K
    1406099020$580$20.9K
    14301124020$780$17.3K
    1400041030$470$16.8K
    9921420,14623,230100$80$14.5K
    1400131010$620$14.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel ShurmanPADermatology Physician$2.9M$38.5K
    Orr BarakPADermatopathology Physician$1.6M$83.8K
    Debra JihPADermatopathology Physician$1.5M$0
    Aimee KrauszPADermatology Physician$1.4M$0
    Jason SchoenfeldPAMOHS-Micrographic Surgery Physician$743.7K$528.9K
    Matthew HalpernPADermatology Physician$1.2M$0
    David SingerPAPlastic Surgery Physician$902.3K$0
    Anthony BenedettoPADermatology Physician$595.9K$0
    Collin FullerPADermatology Physician$541.6K$40K
    Richard CordovaPADermatology Physician$559.9K$11.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative Health Services IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$23.4M
    Pottstown Hospital, LLCPAGeneral Acute Care Hospital$0$7.5M
    Penn Foundation IncPACommunity/Behavioral Health Agency$0$5.6M
    Goodwill Steam Fire Engine Co - 1PAAmbulance$700.4K$2.2M
    An PhamPAPulmonary Disease Physician$1.3M$26K
    Michael LamboPARadiation Oncology Physician$1.1M$0
    Scot ParisPASurgery Physician$1M$0
    Nikos PavlidesPAOrthopaedic Surgery Physician$448.3K$0
    Pottstown Ambulatory Center, LLCPAAmbulatory Surgical Clinic/Center$435.2K$0
    Navneet SharmaPAInternal Medicine Physician$384.5K$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. Pennsylvania Distribution
    John Louis — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania