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    OpenPayerNPI Medicare & MedicaidVerdon Walker
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    Verdon Walker — Billing Profile & Reimbursement Data

    NPI 1871960823 · Provo, UT · Medical Physician Assistant

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    Verdon Walker is a medical physician assistant provider located in Provo, Utah. This profile covers 2 Medicare and 6 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
    OrganizationVerdon Walker
    Address750 N 200 W
    CityProvo
    StateUT
    ZIP84601
    TaxonomyMedical Physician Assistant
    NPI EnumeratedAugust 25, 2015

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

    Payer SourceTotal Paid
    Medicaid$41.1K
    Medicare$460

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…30$10$330
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.40$1$150

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8303642466050$10$980
    8294762020$1$150

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$60$35K
    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…50$80$4.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.580$1$1.7K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…90$1$180
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.40$0$0
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.83240220$50$145.2K
    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…9471,340200$80$144K
    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…3861,360190$70$125K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…74110310$20$21.9K
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.2101,660$1$3K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…111090$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountainlands Community Health Center, IncUTFederally Qualified Health Center (FQHC)$0$3.8M
    Lyle GreenwoodAZFamily Medicine Physician$23.6K$4.2K
    Salvador FernandezUTFamily Medicine Physician$900$14.7K
    Eric ReynoldsUTFamily Nurse Practitioner$6K$0
    Robert RoweUTPhysician Assistant$350$5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wasatch Behavioral Health Special Service DistrictUTCommunity/Behavioral Health Agency$0$178.1M
    Provo City CorporationUTLand Ambulance$161.1K$3.7M
    Utah County GovernmentUTPublic Health or Welfare Agency$141K$3M
    Utah County Department Of Drug And Alcohol Prevention And TreatmentUTSubstance Use Disorder Rehabilitation Clinic/Center$0$2.5M
    Country View Assisted Living LLCUTAssisted Living Facility$0$2.3M
    Kevin MarkhamUTPediatric Dentistry$0$977.4K
    Bryce BottUTPediatric Dentistry$0$794.2K
    Ach Provo, LLCUTIn Home Supportive Care Agency$0$761.3K
    Valley Obstetrics And Gynecology, PCUTObstetrics & Gynecology Physician$0$452.1K
    Trace LundUTPediatric Dentistry$0$450.4K

    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. Utah Distribution
    Verdon Walker — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Verdon Walker — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah