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    OpenPayerNPI Medicare & MedicaidRobert Johnson
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    Robert Johnson — Billing Profile & Reimbursement Data

    NPI 1841330412 · Springfield, MO · Urology Physician

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    Robert Johnson is a urology physician provider located in Springfield, Missouri. This profile covers 20 Medicare and 1 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
    OrganizationRobert Johnson
    Address1965 S Fremont Ave
    CitySpringfield
    StateMO
    ZIP65804
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 6, 2007

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

    Payer SourceTotal Paid
    Medicare$107.9K
    Medicaid$1.5K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9217Leuprolide acetate (for depot suspension), 7.5 mg180$140$24.7K
    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…110$160$18.6K
    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…310$60$17.9K
    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…160$90$13.9K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…160$50$7.8K
    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,…140$30$4.4K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…30$130$3.1K
    55700Code deleted December 31, 2025.20$160$3K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…40$60$2.4K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.20$100$2.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92171670100$130$17.7K
    992143,1948,960100$80$13.9K
    520003717080$150$12.8K
    5172951020$280$8.8K
    992138358,73070$50$7K
    55700348020$200$5.3K
    992042,9784,36030$100$4.8K
    51797164020$80$3.7K
    992031,3442,95030$70$3.2K
    51720143040$60$2.9K

    Showing 1–10 of 20

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…30$60$1.5K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…15624040$50$8.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospital SpringfieldMOGeneral Acute Care Hospital$0$64.5M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$51.5M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    Mercy Hospital SpringfieldMOLand Ambulance$0$46.7M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Mercy Hospital CarthageMOCritical Access Hospital$0$18.8M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$15.1M
    Mercy Hospital SpringfieldMOGeneral Acute Care Hospital$0$6.6M
    Mercy Hospital SpringfieldMOAir Ambulance$0$6.5M
    Adam CarverMOOphthalmology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Burrell, Inc.MOCommunity/Behavioral Health Agency$0$758.9M
    Phoenix Home Care, LLCMONursing Care Agency$0$199.5M
    Phoenix Home Care, LLCMOIn Home Supportive Care Agency$0$149M
    Integrity Home Care, LLCMOHome Health Agency$0$115.7M
    Preferred Family Healthcare, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23M
    Premier Home Health Care, Inc.MOHome Health Agency$0$12.1M
    Burrell, Inc.MOCommunity/Behavioral Health Agency$0$9.1M
    2gethertech, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.5M
    Easter Seals MidwestMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.7M
    Elite Pain Management, LLCMOPain Medicine (Physical Medicine & Rehabilitation) Physician$0$3.5M

    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
    Robert Johnson — 1 of 20 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Robert Johnson — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri