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    OpenPayerNPI Medicare & MedicaidJonathan Carlson
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    Jonathan Carlson — Billing Profile & Reimbursement Data

    NPI 1922219500 · Spokane, WA · Neurological Surgery Physician

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    Jonathan Carlson is a neurological surgery physician provider located in Spokane, Washington. This profile covers 13 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
    OrganizationJonathan Carlson
    Address105 W 8th Ave
    CitySpokane
    StateWA
    ZIP99204
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedMay 24, 2007

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

    Payer SourceTotal Paid
    Medicare$105.6K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61867In this procedure, the provider removes a portion of the skull or he may create burr holes in the skull. He then uses the stereotactic method, which makes use of a three dimensional coordinate system…30$1,720$48.2K
    61886The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on…30$690$23.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…50$150$8.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$120$5.6K
    61868In this add on procedure, the provider has removed a portion of the skull or he may create burr holes in the skull. He then uses the stereotactic method, which makes use of a three dimensional…10$360$4.7K
    69990Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.20$170$3.3K
    61781In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$180$2.9K
    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…20$90$2.2K
    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…30$70$2.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$140$1.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6186711030$1,040$26.9K
    992149,35610,860100$80$13.6K
    6188611020$590$12.3K
    992151,6524,32040$120$8.4K
    992137,1809,69060$60$6.5K
    992232,2762,57030$130$6.4K
    992053051,82030$150$5.4K
    6186811010$360$4.7K
    992221,5951,69020$100$3K
    6178131020$170$2.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services WashingtonWAPulmonary Disease Physician$0$78.6M
    Providence Health & Services WashingtonWAGeneral Acute Care Hospital$0$39.9M
    Providence Health & Services WashingtonWAClinical Medical Laboratory$1.6M$9.3M
    Providence Health & Services- WashingtonWAGeneral Practice Physician$0$7.6M
    Providence Health & Services WashingtonWARural Health Clinic/Center$0$6.3M
    Providence Health & Services WashingtonWAAmbulatory Surgical Clinic/Center$271.6K$1.7M
    Providence Health & Services MtMTPsychiatric/Mental Health Nurse Practitioner$0$1.8M
    Daniel BairdWADermatology Physician$739.5K$0
    Rebecca MunteanWARheumatology Physician$290.8K$0
    Sanjit DuttaWAInternal Medicine Physician$216.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Jonathan Carlson — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington