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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKristopher Downing
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    Kristopher Downing — Billing Profile & Reimbursement Data

    NPI 1851451439 · La Jolla, CA · Orthopaedic Surgery Physician

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    Kristopher Downing is a orthopaedic surgery physician provider located in La Jolla, California. This profile covers 17 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
    OrganizationKristopher Downing
    Address9834 Genesee Ave
    CityLa Jolla
    StateCA
    ZIP92037
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$50.1K
    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.

    17 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…90$100$9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…60$140$7.9K
    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$130$6.8K
    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…90$70$6.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$160$5.6K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…30$80$2.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$140$2.1K
    95851In this procedure, the provider measures the range of motion of a single section of spine or a single extremity, excluding the hand. Range of motion measurement tests how much movement exists at a…90$20$1.7K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$90$1.4K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.30$40$1.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921421,68237,970120$90$23.2K
    992157,02515,36050$130$14.4K
    9921316,53634,66080$70$13.2K
    2061182588070$90$13.2K
    9922311,63413,19050$140$11.3K
    6445014523020$40$7.6K
    992053,3918,36030$170$7.2K
    992046,87419,36040$120$7.2K
    2055041479030$40$3.3K
    206064711030$70$2.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atul JainCAOphthalmology Physician$3.5M$0
    Alexander SalloumCAVascular Surgery Physician$2.8M$0
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    Erik SpaydeCAOrthopaedic Surgery Physician$2.2M$0
    Iain MacewanCARadiation Oncology Physician$2.2M$0
    NPI 1063405082——$2.1M$0
    Anne HannekenCAOphthalmology Physician$2.1M$0
    Paul DatoCAUrology Physician$2M$0
    Joshua Morrison-reyesCARetina Specialist (Ophthalmology) Physician$2M$18.2K
    Tailun ZhaoCARetina Specialist (Ophthalmology) Physician$1.8M$139.9K

    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. California Distribution
    Kristopher Downing — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California