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

    NPI 1861505448 · Columbus, MS · Interventional Cardiology Physician

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    John King is a interventional cardiology physician provider located in Columbus, Mississippi. This profile covers 57 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 King
    Address2323 5th St N
    CityColumbus
    StateMS
    ZIP39705
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedAugust 16, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    Revenue concentration is high: the precomputed top-3 Medicare codes (37229, 37225, 36465) together account for 60.5% of this provider's total Medicare revenue, and total Medicare revenue is $1.5M. The single-code shares are substantial — 37229 generates 27.5% and 37225 generates 25.7% of Medicare revenue, while 36465 contributes 7.3% — indicating a heavy reliance on a few interventional/venous procedures.

    Clinical/service-line profile points to an interventional vascular focus. The largest revenue drivers, 37229 and 37225, are peripheral endovascular intervention codes and 36465 is a single truncal vein sclerotherapy code, while additional entries such as 37252/37253 (intravascular ultrasound add-ons), 36247/36246 (selective angiography), and 92928 (coronary stent for a single lesion) show a mix of peripheral and coronary endovascular work, consistent with an Interventional Cardiology Physician performing both diagnostic and therapeutic vascular procedures.

    Diagnostic and imaging throughput is high relative to national peers, supporting an image-driven practice model. Echocardiography and vascular imaging volumes are notable: 93306 has 689 claims ($83.4K, 5.8%) and ranks #1450 of 24624 providers (94th percentile; noted as "notably above typical national volume"), 93351 has 224 claims ($33.4K, 2.3%) and ranks in the 99th percentile (labeled an "extreme outlier"), and duplex ultrasound codes 93880 (267 claims) and 93970 (250 claims) are also in high percentiles, indicating that noninvasive vascular diagnostics are a major operational component.

    Competitive standing is mixed by code: for the two largest revenue codes this provider sits in the typical-to-above-typical range nationally (37225 ranks #48 of 715, 93th percentile and is described as "typical, unremarkable volume" while 37229 ranks #114 of 603, 81th percentile and is also "typical, unremarkable"). At the same time, several diagnostic/service codes are outliers versus peers — for example, 93351 (99th percentile, "extreme outlier") and 99152 (99th percentile, "extreme outlier") — so the provider is not uniformly dominant across all services but shows outsized activity in specific imaging and sedation-related elements of care.

    Payer mix is effectively single-payer Medicare: total Medicaid revenue is none (no Medicaid billing on file), so the practice’s publicly recorded revenue exposure is concentrated entirely in Medicare. That concentration means analyses of referral patterns, population served, and reimbursement risk should treat Medicare policy and utilization shifts as primary drivers of this provider’s financial performance.

    Procedure support and complexity are evidenced by use of adjunct intraprocedural technologies. The provider bills add-on intravascular ultrasound codes such as 37252 (41 claims, $27.2K, 1.9%) and 37253 (71 claims, $8.7K, 0.6%), and reports angiographic imaging codes like 93458 (85 claims) and 75710/75716, indicating routine use of imaging guidance and supervision during endovascular interventions rather than only simple office-based procedures. This pattern suggests cases that require procedural imaging oversight and cross-disciplinary coordination.

    Sedation workload is unusually high for procedural monitoring: 99152 appears 380 times ($8.7K, 0.6%) and is ranked #114 of 19266 providers (99th percentile; labeled an "extreme outlier"). That level of reported conscious sedation activity supports an interpretation of frequent moderate sedation use during in-office or outpatient interventional procedures, which has implications for staffing, recovery resources, and coding oversight.

    Provider tenure is long and suggests an established practice: the NPI was enumerated 2006-08-16 (~20 years ago). This ~20-year enumeration window is consistent with a stable referral base and accumulated procedural volume reflected across the Medicare claims mix, which may explain the combination of routine case volumes in some CPTs and extreme outlier activity in specific diagnostic or support codes.

    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.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A70$6,100$396.6K
    37225N/A80$4,480$371.5K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…120$900$105.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…690$120$83.4K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…60$1,160$69.6K
    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…650$90$55.6K
    37228N/A20$2,660$50.6K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…220$150$33.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…270$120$32.6K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…250$120$30.8K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722931040$5,270$279.1K
    3722522020$3,490$118.5K
    3646511040$810$41.9K
    9330634210290$80$27.8K
    3722821010$1,480$26.6K
    3648211020$1,080$25.9K
    992145194,110170$70$21.9K
    3725251040$460$21.7K
    92928257030$390$15.1K
    33208304020$500$14.4K

    Showing 1–10 of 57

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital - Golden Triangle Inc.MSGeneral Acute Care Hospital$0$55.8M
    Kevin CollinsTNRadiation Oncology Physician$338.4K$0
    Amirhossein ZangiabadiCANeurology Physician$274.7K$0
    Brett BrownMSInternal Medicine Physician$244.7K$0
    Julius KatoOHCardiovascular Disease Physician$238.7K$0
    David JonesTNVascular & Interventional Radiology Physician$86.3K$0
    Carole StancillNCCertified Registered Nurse Anesthetist$41.5K$0
    Christy BlackMSCertified Registered Nurse Anesthetist$30.6K$0
    Monica HocuttNCCertified Registered Nurse Anesthetist$28.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrust Columbus, LLCMSPediatric Skilled Nursing Facility$0$12M
    United Emergency Services Of MississippiMSEmergency Medicine Physician$0$7.8M
    Columbus Orthopedic OutpatientMSAmbulatory Surgical Clinic/Center$2.5M$158K
    David CurtisMSPediatric Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Katie Curtis Windham Dmd PLLCMSPediatric Dentistry$0$2M
    Eye Laser & Surgery Center Of Columbus, LLCMSAmbulatory Surgical Clinic/Center$1.5M$293.8K
    Oral & Facial Surgical CenterMSOral and Maxillofacial Surgery (Dentist)$0$1.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Columbus Endoscopy Center, LLCMSAmbulatory Surgical Clinic/Center$706K$606K

    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. Mississippi Distribution
    John King — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi