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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLarry Pearson
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    Larry Pearson — Billing Profile & Reimbursement Data

    NPI 1699776237 · Brookfield, WI · Rheumatology Physician

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    Larry Pearson is a rheumatology physician provider located in Brookfield, Wisconsin. This profile covers 21 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
    OrganizationLarry Pearson
    Address601 N Barker Rd
    CityBrookfield
    StateWI
    ZIP53045
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 4, 2005

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

    Payer SourceTotal Paid
    Medicare$90K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use4,630$10$50.9K
    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…180$80$13.5K
    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…60$50$3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.370$10$3K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…370$10$2.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…30$90$2.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.50$50$2.1K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.360$10$1.8K
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…360$10$1.8K
    84450The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…360$10$1.8K

    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

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1602131011,900$10$206.3K
    964136680110$90$12.7K
    862351920110$20$10.7K
    827841210240$10$10.1K
    992142,1799,80080$70$9.2K
    96365439050$50$5.8K
    992134,6609,38060$50$4.7K
    8648151020$100$4.2K
    86160112080$10$2.5K
    850253687030$10$2.4K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenfield Rehabilitation Agency, Inc.WIPhysical Therapist$0$14.2M
    Newborn Care Physicians Of Southeastern Wisconsin, LLPWINeonatal-Perinatal Medicine Physician$0$8M
    Summit Clinical Laboratories LLCWIClinical Medical Laboratory$65.5K$4.9M
    Healing Corner, LLCWIPrimary Care Clinic/Center$0$2.9M
    Allay Home And Hospice, Inc.WICommunity Based Hospice Care Agency$0$2.8M
    Michael ShefskyWIPsychologist$0$1.8M
    Richard FullerWIAdult Medicine Physician$368.6K$408.5K
    Hannah SongWIDermatology Physician$222.3K$0
    Aaron HoltebeckWIOphthalmology Physician$168.6K$0
    Nicole JodatWIMedical Physician Assistant$114.1K$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. Wisconsin Distribution
    Larry Pearson — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin