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    OpenPayerNPI Medicare & MedicaidJohn Poovey
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    John Poovey — Billing Profile & Reimbursement Data

    NPI 1841384492 · Grand Junction, CO · General Practice Dentistry

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    John Poovey is a general practice dentistry provider located in Grand Junction, Colorado. This profile covers 11 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
    OrganizationJohn Poovey
    Address132 Walnut Ave Ste E
    CityGrand Junction
    StateCO
    ZIP81501
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicare$312.5K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    21215The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to…50$2,630$136.6K
    21127The provider enlarges the lower jaw by applying bone graft material on top of the jaw bone to build it up or by inserting the graft material into layers of the bony tissue of the jaw. She performs…30$1,770$60K
    21210The provider applies bone graft material to the face to correct cosmetic deformities of the bony structures of the nose, upper jaw, and cheeks, caused by injury or disease.50$1,110$54.6K
    40845In this procedure, the provider improves the height of the alveolar ridge by various methods. This code applies to complex vestibuloplasty, which may involve extending the ridge or lowering specific…30$660$17.9K
    21209The provider surgically repairs and or alters the facial bones by osteoplasty, surgically incising the bone, to reduce the size of the bony structures. He performs this procedure to correct defects…40$330$13.6K
    30580In this procedure, the provider surgically repairs an oromaxillary fistula, which is an abnormal connection between the mouth and the maxillary sinus, an air cavity in the body of the maxilla.30$250$7K
    21025In mandibular osteomyelitis, the mandible, or lower jaw bone, and its surrounding soft tissue become inflamed due to a bacterial infection, such as Staphylococcus aureus, which may have spread from…20$300$5.5K
    40842In this procedure, the provider improves the height of the alveolar ridge by various methods. This code applies to posterior, or rear, vestibuloplasty on one side.10$410$5.3K
    21248The provider reconstructs a portion of the upper or lower jaw, the maxilla or mandible, to repair defects and restore function. He inserts a metallic or ceramic implant into the bone to strengthen it.10$400$5.2K
    31030In this procedure, the provider enters the sinus using an osteotome and removes the entire mucosa of the antrum creating a nasoantral window. He then removes the diseased materials.20$260$4.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2121511050$2,630$136.6K
    2112711030$1,770$60K
    2121011050$1,110$54.6K
    4084511030$660$17.9K
    2120911040$330$13.6K
    3058011030$250$7K
    2102511020$300$5.5K
    4084211010$410$5.3K
    2124811010$400$5.2K
    3103011020$260$4.5K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colorado West Regional Mental Health, Inc.COMental Health Clinic/Center (Including Community Mental Health Center)$0$84.2M
    Mesa Developmental Services Dba StriveCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$59.6M
    Tazco, Inc.COTaxi$0$39.7M
    Hilltop Health Services CorporationCOAdult Day Care Clinic/Center$0$27.7M
    Hilltop Health Services CorporationCOProfessional Counselor$0$24.2M
    MosaicCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16.3M
    Martha AmosCOMental Health Counselor$0$14.6M
    St. Mary's Hospital And Medical Center, Inc.COGeneral Acute Care Hospital$0$14.5M
    Colorado West Emergency Physicians, LLCCOEmergency Medicine Physician$0$10.6M
    Mls Senior CareCOHomemaker$0$9M

    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. Colorado Distribution
    John Poovey — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado