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    Brian Anderson — Billing Profile & Reimbursement Data

    NPI 1932465689 · Lehi, UT · Neurological Surgery Physician

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    Brian Anderson is a neurological surgery physician provider located in Lehi, Utah. This profile covers 7 Medicare and 2 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
    OrganizationBrian Anderson
    Address3000 N Triumph Blvd Ste 240
    CityLehi
    StateUT
    ZIP84043
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 6, 2012

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

    Payer SourceTotal Paid
    Medicare$95.3K
    Medicaid$4.9K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.130$480$60.4K
    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…80$120$9.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$700$9.8K
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…40$140$6.1K
    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…70$90$5.9K
    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…50$60$2.8K
    76000In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.40$10$440

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368532020$6,650$192.7K
    6365042050$1,750$124.6K
    63047365020$530$12.8K
    992142,2814,08080$80$11.6K
    992132,2033,68060$50$6.4K
    992041661,79030$100$4.1K
    7600021020$10$280

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$50$3K
    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…60$30$2K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9191,340200$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…9341,360190$70$125K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Blessing HospitalILRural Health Clinic/Center$0$5.1M
    Central Valley Medical CenterUTCritical Access Hospital$0$2.3M
    Brenda EllingsonAZFamily Nurse Practitioner$1.9M$0
    Joseph JudgeILDiagnostic Radiology Physician$395.1K$998.5K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Central Valley Medical CenterUTFamily Medicine Physician$0$1M
    Sami SibaiILDiagnostic Radiology Physician$184.8K$846.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain West Anesthesia LLCUTAnesthesiology Physician$0$7.5M
    Jordan Valley Medical Center LPUTGeneral Acute Care Hospital$0$5.6M
    Lehi City Municipal CorporationUTAmbulance$129.1K$1.8M
    Post Acute Rehabilitation Physicians LLCUTPhysical Medicine & Rehabilitation Physician$0$1.7M
    Covington Senior Living Of LehiUTAssisted Living Facility$0$667.2K
    Alpine Pain & Spinal Rehabilitation IncUTInterventional Pain Medicine Physician$0$645.9K
    Troy HardyUTPediatric Dentistry$0$460.7K
    James MacdonaldUTDermatology Physician$415.3K$26.5K
    Ryan BurtUTPediatric Dentistry$0$369.7K
    David SmithUTInternal Medicine Physician$355.8K$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. Utah Distribution
    Brian Anderson — 0 of 7 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Brian Anderson — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah