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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Erhardt
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    Mark Erhardt — Billing Profile & Reimbursement Data

    NPI 1770546640 · Bartlesville, OK · Family Medicine Physician

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    Mark Erhardt is a family medicine physician provider located in Bartlesville, Oklahoma. This profile covers 27 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
    OrganizationMark Erhardt
    Address4150 Se Adams Rd
    CityBartlesville
    StateOK
    ZIP74006
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$289.1K
    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.

    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…1,120$80$87.4K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…480$100$47.6K
    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…580$60$32.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210$120$24.9K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…330$50$17.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…180$80$13.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…60$200$11.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…150$80$11.3K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$7.6K
    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…50$100$5.2K

    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
    99487410120$90$49.3K
    99308200270180$50$26.5K
    992141415,560130$70$18.4K
    99489110190$50$9.9K
    G04391591,20070$90$9.8K
    992132735,45080$50$8.7K
    992157261,31040$110$8.2K
    9067726370020$270$8K
    992049892,79040$100$5.8K
    906948173050$70$5.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Donald SimmonsTXFamily Medicine Physician$408.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jane Phillips Memorial Medical Center, Inc.OKGeneral Acute Care Hospital$0$6.8M
    Children's Therapeutic Strategies, PLLCOKCommunity/Behavioral Health Agency$0$3.5M
    Washington County Elder Care, IncOKCase Management Agency$0$3.3M
    Spring Dental BartlesvilleOKGeneral Practice Dentistry$0$2.1M
    Nicole CuppOKFoot & Ankle Surgery Podiatrist$413.9K$481.9K
    Triad Surgery Center LLCOKAmbulatory Surgical Clinic/Center$638.3K$20.2K
    Christopher ManusOKHematology & Oncology Physician$624.4K$0
    Anderson MehrleOKCardiovascular Disease Physician$486.1K$0
    Elizabeth HenleyOKPhysical Therapist$342.5K$0
    Scott CochranOKOrthopaedic Surgery Physician$191.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Mark Erhardt — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma