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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Atherton
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    Justin Atherton — Billing Profile & Reimbursement Data

    NPI 1912935644 · Tulsa, OK · Surgery Physician

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    Justin Atherton is a surgery physician provider located in Tulsa, Oklahoma. This profile covers 16 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
    OrganizationJustin Atherton
    Address1725 E 19th St
    CityTulsa
    StateOK
    ZIP74104
    TaxonomySurgery Physician
    NPI EnumeratedJune 29, 2006

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

    Payer SourceTotal Paid
    Medicare$159.6K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36821The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…60$490$29.2K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…40$690$26.9K
    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…230$110$25K
    36819The provider creates an arteriovenous anastomosis by connecting the basilic vein to the brachial artery in the upper arm to provide better vascular access in patients with kidney failure who will…40$500$20.5K
    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…140$90$12.5K
    36832In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…20$560$9.5K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…100$80$8.4K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.10$420$5.5K
    93990The provider assesses the flow of blood through a hemodialysis graft using duplex ultrasound scanning. He performs this procedure to evaluate the condition of the graft.50$90$4.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$60$3.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3682131040$490$21K
    3681911040$500$20.4K
    992142,6785,560130$70$18.4K
    2255842020$530$14.9K
    992321,0731,77090$60$14K
    3683231020$540$12.9K
    992231,0681,55050$130$9.6K
    22853607040$120$6.6K
    4950531030$280$6.5K
    99204622,79040$100$5.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. John Physicians, Inc.OKInternal Medicine Physician$0$17.7M
    Ahs Oklahoma Physician Group LLCOKFamily Medicine Physician$0$17.4M
    Jane Phillips Memorial Medical Center, Inc.OKGeneral Acute Care Hospital$0$6.8M
    St John Urgent Care Clinics IncOKUrgent Care Clinic/Center$0$5.1M
    Ahs Oklahoma Physician Group, LLCOKRural Health Clinic/Center$0$2.1M
    Tyler WoodsOKFamily Nurse Practitioner$878.4K$0
    Khalid AlyOKInternal Medicine Physician$718.2K$0
    Anderson MehrleOKCardiovascular Disease Physician$486.1K$0
    Joseph WomackTXUrology Physician$463.6K$0
    Vishal AggarwalOKInternal Medicine Physician$436.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Green Country Emergency Physicians Group Of Tulsa PLLCOKEmergency Medicine Physician$0$18.9M
    Ahs Hillcrest Medical Center, LLCOKGeneral Acute Care Hospital$0$14.4M
    Osu Center For Health SciencesOKMedical Specialty Clinic/Center$0$8.5M
    Oklahoma State UniversityOKMedical Specialty Clinic/Center$0$8.2M
    Mbc DentalOKGeneral Practice Dentistry$0$7.4M
    Osu Center For Health SciencesOKClinic/Center$0$6.4M
    Community Health Connection, Inc.OKFederally Qualified Health Center (FQHC)$0$6.4M
    Tulsa Hospitalists IncOKInternal Medicine Physician$0$5.6M
    St John Medical Center IncOKGeneral Acute Care Hospital$0$5.3M
    Community Resource Associates IncOKCase Management Agency$0$3.3M

    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. Oklahoma Distribution
    Justin Atherton — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma