Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Stapleton
    Ask Trek AI about this page

    Joseph Stapleton — Billing Profile & Reimbursement Data

    NPI 1700812898 · Portland, OR · Pain Medicine (Anesthesiology) Physician

    Customize your policy alerts

    Sign up for Joseph Stapleton — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Joseph Stapleton is a pain medicine (anesthesiology) physician provider located in Portland, Oregon. This profile covers 24 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Stapleton
    Address9300 Se 91st Ave
    CityPortland
    StateOR
    ZIP97086
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$147.4K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This 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).410$110$43.6K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.80$250$19.3K
    64479This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).110$130$13.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$220$11K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…80$100$7.5K
    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…90$80$7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$80$5.5K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…50$120$5.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…50$80$4.3K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…20$190$4.1K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6365064040$2,140$117.8K
    64635248040$430$24K
    64483310050$220$19K
    64493299050$210$16.9K
    64633193030$430$14.7K
    64490165040$220$11.2K
    992142,7716,07080$70$10.3K
    6447912030$240$9.9K
    6232386040$170$8.8K
    992133,6505,48060$50$5.7K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stuart RosenblumORPain Medicine (Anesthesiology) Physician$126.9K$1.3K
    Jordan GraybillWAInterventional Pain Medicine Physician$105.3K$0
    Dean WalkerORAnesthesiology Physician$51.5K$0
    Eric ShieldsORAnesthesiology Physician$51K$0
    Kevin MaPACritical Care Medicine (Internal Medicine) Physician$49.7K$0
    Jacob LightORAnesthesiology Physician$43.5K$0
    Curtis WaltherCAAnesthesiology Physician$40.6K$0
    Stephen HolmesORAnesthesiology Physician$40K$0
    Michael GreenbergWAAnesthesiology Physician$36.2K$0
    Carly GuthrieORAnesthesiology Physician$36K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hilltop View IncORHome Health Agency$0$2.8M
    Eye Health Eastside Surgery CenterORAmbulatory Surgical Clinic/Center$1.5M$1.1M
    Sunnyside Collaborative CareORHealth Service Clinic/Center$0$1.9M
    Mountain Crest Counseling Services, LLCORCommunity/Behavioral Health Agency$0$1.3M
    East Portland Surgery Center LLCORAmbulatory Surgical Clinic/Center$295.5K$38.2K
    Kevin PhanOROptometrist$139.8K$2.1K
    Lauren WikholmORSurgery Physician$121.7K$0
    Mithlesh SharmaOROphthalmology Physician$51.9K$0
    Stephen FritzORAllergy & Immunology Physician$41.2K$0
    Paul JonesORFoot & Ankle Surgery Podiatrist$32.6K$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. Oregon Distribution
    Joseph Stapleton — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon