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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBenjamin Coons
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    Benjamin Coons — Billing Profile & Reimbursement Data

    NPI 1720135692 · Colorado Springs, CO · Urology Physician

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    Benjamin Coons is a urology physician provider located in Colorado Springs, Colorado. This profile covers 28 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
    OrganizationBenjamin Coons
    Address2222 N Nevada Ave Ste 2025
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 4, 2007

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

    Payer SourceTotal Paid
    Medicare$167.1K
    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.

    28 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…300$100$29K
    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…340$70$22.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$200$20.3K
    53854The provider uses a radiofrequency–generated water vapor thermal device to destroy prostate tissue to treat BPH and lower urinary tract symptoms.10$1,400$18.2K
    99204The 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…120$130$15.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg90$130$12.1K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…270$30$9.3K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$580$8.8K
    55700Code deleted December 31, 2025.30$190$5.2K
    99203The provider sees a new 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 provider…60$80$5.1K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877983650350$30$112.5K
    874813150120$30$25K
    52601153020$970$18.5K
    5385421010$1,050$15.7K
    J92173260100$130$15.6K
    520004715070$150$15.6K
    992141,0778,16080$80$11.3K
    55700358030$270$9.2K
    87653325030$30$8.4K
    99490198320110$40$7.8K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    Wellmont Medical Associates IncVAFamily Medicine Physician$0$24.6M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$23.6M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Takoma Regional Hospital IncTNGeneral Acute Care Hospital$0$20.1M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$15.6M
    Marian Health Center-smhcIAGeneral Acute Care Hospital$0$15.5M
    Shahid JaveryCOInternal Medicine Physician$11.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Physicians Home CareCOIn Home Supportive Care Agency$0$247.9M
    A Circle Of Care Colorado, LLC.COIn Home Supportive Care Agency$0$101.8M
    Goodwill Of ColoradoCOHome Health Agency$0$33.3M
    Stellar Care And Services, LLCCOChild Intellectual and/or Developmental Disabilities Respite Care$0$31M
    American Medical Response Of Colorado IncCOAmbulance$3.4M$21.6M
    Special Kids Special FamiliesCODevelopmentally Disabled Services Day Training Agency$0$24.8M
    Lucas IncCORespite Care$0$23.6M
    Achieve Whole Recovery, PCCOSpecialist$0$22.7M
    Loving Care Agency, Inc.COIn Home Supportive Care Agency$0$18.2M
    United Seating And Mobility LLCCODurable Medical Equipment & Medical Supplies$0$15.4M

    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
    Benjamin Coons — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado