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    David Tonkin — Billing Profile & Reimbursement Data

    NPI 1760438642 · Springfield, MO · Interventional Pain Medicine Physician

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    David Tonkin is a interventional pain medicine physician provider located in Springfield, Missouri. This profile covers 27 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Tonkin
    Address3600 S National Ave
    CitySpringfield
    StateMO
    ZIP65807
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicare$367.4K
    Medicaid$91.2K

    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.

    27 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…1,220$80$101.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.50$1,180$62.6K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…420$110$46.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.640$60$38.2K
    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…240$60$14.3K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$310$13.1K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…70$190$12.9K
    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…70$120$8.5K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…50$150$8.2K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…50$130$6.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63650163050$1,480$112.4K
    G048052060$110$29.8K
    G048231020$190$21.9K
    80307840110$60$16.1K
    G048151060$150$15.3K
    99214698,960100$80$13.9K
    64635279030$290$12.9K
    644933311050$140$8.9K
    64633204020$290$8K
    992131,2598,73070$50$7K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.860$60$49.6K
    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…520$40$18K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…260$70$16.6K
    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…120$30$3.7K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…30$120$3.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.51130450$60$158.5K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3960440$80$155.6K
    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…1,9473,170230$70$128.1K
    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…1,6724,310300$60$110.8K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1720170$90$101.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozarks Medical CenterMOGeneral Acute Care Hospital$0$35.8M
    Ozarks Medical CenterMOAdult Mental Health Clinic/Center$0$18.5M
    Honour Brite LLCMOMulti-Specialty Clinic/Center$0$7.1M
    Southern Illinois Healthcare Foundation, Inc.ILFederally Qualified Health Center (FQHC)$0$6.3M
    Elite Pain Management, LLCMOPain Medicine (Physical Medicine & Rehabilitation) Physician$0$3.5M
    Elite Pain Management, LLCSCPain Medicine Physician$0$1.6M
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Dushyant VermaMOHematology & Oncology Physician$615.5K$0
    Salman SarwarMOOphthalmology Physician$600.4K$0
    Richard BlackburnMORadiation Oncology Physician$591.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Supported Living And Employment Services, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$276.6M
    Easy Living Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$183.2M
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Healthcare Services Of The Ozarks, IncMOHome Health Agency$0$60.3M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$51.5M
    Abilities FirstMOCase Management Agency$0$45.8M
    Southwest Center For Independent LivingMOIn Home Supportive Care Agency$0$45.3M
    Lester E Cox Medical CentersMOLand Ambulance$0$25.8M
    Seniorage Area Agency On AgingMOCase Management Agency$0$19.2M
    Maxim Healthcare Services, Inc.MOHome Health Agency$0$17.7M

    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. Missouri Distribution
    David Tonkin — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    David Tonkin — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri