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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Eckford
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    John Eckford — Billing Profile & Reimbursement Data

    NPI 1902979008 · Round Rock, TX · Surgery Physician

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    John Eckford is a surgery physician provider located in Round Rock, Texas. This profile covers 8 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJohn Eckford
    Address300 University Blvd
    CityRound Rock
    StateTX
    ZIP78664
    TaxonomySurgery Physician
    NPI EnumeratedNovember 16, 2006

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

    Payer SourceTotal Paid
    Medicare$31.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$510$9.2K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$390$8.5K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$470$5.6K
    99203The provider sees a new 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 provider…70$60$3.8K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$60$1.1K
    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…20$50$1.1K
    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$30$1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$40$680

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4965010814020$500$9K
    475624117010$530$8.5K
    9921324,64429,79070$60$8.4K
    4950565010$460$7K
    992312,1772,70040$40$3.5K
    992032,39510,82030$70$3.4K
    992215941,13020$60$2K
    992023491,22020$40$1.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Curative Labs Inc.TXClinical Medical Laboratory$0$20.2M
    Lone Star Circle Of CareTXFederally Qualified Health Center (FQHC)$0$18M
    Bluebonnet Trails Community Mhmr CenterTXMental Health Clinic/Center (Including Community Mental Health Center)$0$16.1M
    Tejas Next HealthTXGeneral Practice Physician$0$15M
    Round Rock Surgery Center LLCTXAmbulatory Surgical Clinic/Center$6.6M$1.9K
    Quick Labs Texas LLCTXClinical Medical Laboratory$1.5M$1.5K
    Ara/st. David's Imaging, LPTXRadiology Clinic/Center$1.2M$8.8K
    Michael CosimenoTXPodiatrist$130.4K$0
    Anthony HenryTXAllergy & Immunology Physician$73.5K$0

    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. Texas Distribution
    John Eckford — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas