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    v1.0.28
    OpenPayerNPI Medicare & MedicaidClayton Peterson
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    Clayton Peterson — Billing Profile & Reimbursement Data

    NPI 1750528477 · Boston, MA · Surgery Physician

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    Clayton Peterson is a surgery physician provider located in Boston, Massachusetts. This profile covers 9 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
    OrganizationClayton Peterson
    Address330 Brookline Ave
    CityBoston
    StateMA
    ZIP02215
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 16, 2009

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

    Payer SourceTotal Paid
    Medicare$41.9K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…20$590$8.9K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$400$7.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$6.9K
    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…80$60$4.8K
    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…80$50$4.3K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…100$40$3.9K
    49591The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…10$240$2.9K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$70$1.9K
    99212The 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,…10$30$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4756371020$570$9.7K
    992136,31613,70070$60$8.8K
    49650185020$410$7.8K
    992225493,42030$100$4.5K
    992038374,29030$80$4.1K
    992314121,83040$40$3.5K
    4959161010$190$2.9K
    992122,3392,66030$40$2.4K
    992384051,18020$60$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Berkshire Faculty Services IncMAMulti-Specialty Clinic/Center$0$13.1M
    Eleanor SullivanMACardiovascular Disease Physician$782.1K$0
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K
    Sean MullallyMAHematology & Oncology Physician$300.3K$0
    Charles KanalyMANeurological Surgery Physician$287.8K$0
    Steven PollackFLCardiovascular Disease Physician$281.6K$0
    Andrew DemaggioMAPhysical Medicine & Rehabilitation Physician$274.4K$880
    Ravi KackerMAUrology Physician$243.1K$250
    Joshua YurfestMAPain Medicine (Physical Medicine & Rehabilitation) Physician$105.8K$105.7K
    Hani ErianMANephrology Physician$205.2K$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. Massachusetts Distribution
    Clayton Peterson — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts