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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Jelsma
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    Peter Jelsma — Billing Profile & Reimbursement Data

    NPI 1922070713 · Nashville, TN · Anatomic Pathology & Clinical Pathology Physician

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    Peter Jelsma is a anatomic pathology & clinical pathology physician provider located in Nashville, Tennessee. 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
    OrganizationPeter Jelsma
    Address4220 Harding Pike
    CityNashville
    StateTN
    ZIP37205
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$62.6K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…690$30$23.3K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…210$60$13.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…270$20$5.8K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.60$70$4.4K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…120$30$3.2K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…50$50$2.6K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$1.9K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…70$20$1.4K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…100$10$1.3K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…40$30$1.2K

    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
    88305166420500$30$55.1K
    88342155310120$50$11.6K
    88341105280210$30$11.2K
    8831212020060$50$9.9K
    881128916080$30$7.8K
    8831312920070$30$7.5K
    883071522090$70$7.5K
    88361131040$40$5.2K
    883313112030$60$5.1K
    881734412040$70$4.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colt McclainTNAnatomic Pathology & Clinical Pathology Physician$962.9K$0
    Jason RobbinsTNDermatology Physician$908.7K$0
    Blazej ZbytekARDermatopathology (Pathology) Physician$828.2K$590
    Omar SanguezaNCDermatopathology (Pathology) Physician$810.1K$0
    Liaqat AliMIDermatopathology Physician$728K$0
    Sara KantrowTNDermatopathology Physician$694.8K$12.3K
    Tiffany ChenTNAnatomic Pathology & Clinical Pathology Physician$502.1K$0
    Jonathan CudaTNAnatomic Pathology Physician$326.7K$0
    Richard MichaelsonTNClinical Pathology/Laboratory Medicine Physician$54.1K$27.6K
    Adriana Gonzalez GerdemanTNAnatomic Pathology & Clinical Pathology Physician$56.5K$820

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Old Harding Pediatric AssociatesTNPediatrics Physician$0$7.3M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Adams & Seaton Pediatric DentistryTNPediatric Dentistry$0$3.7M
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Saint Thomas Campus Surgicare LPTNAmbulatory Surgical Clinic/Center$1.3M$0
    Elizabeth LyonsTNRheumatology Physician$1.2M$0
    Imaging Alliance Nashville Pet LLCTNRadiology Clinic/Center$456.7K$255.5K
    Gregg ShepardTNHematology & Oncology Physician$653K$0
    Heikki KostamaaTNRetina Specialist (Ophthalmology) Physician$608K$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. Tennessee Distribution
    Peter Jelsma — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee