Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrian Lancaster
    Ask Trek AI about this page

    Brian Lancaster — Billing Profile & Reimbursement Data

    NPI 1932595618 · Fort Collins, CO · Sports Medicine (Family Medicine) Physician

    Customize your policy alerts

    Sign up for Brian Lancaster — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Brian Lancaster is a sports medicine (family medicine) physician provider located in Fort Collins, Colorado. This profile covers 22 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrian Lancaster
    Address2500 E Prospect Rd
    CityFort Collins
    StateCO
    ZIP80525
    TaxonomySports Medicine (Family Medicine) Physician
    NPI EnumeratedApril 9, 2015

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

    Payer SourceTotal Paid
    Medicare$213.4K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…670$70$44.2K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose340$100$33.2K
    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…350$90$31.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…520$60$28.8K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…190$80$15.1K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…110$120$12.8K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.270$30$6.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…670$10$6.7K
    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…80$70$5.3K
    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…50$90$4.9K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7323130100$100$11.8K
    992148088,16080$80$11.3K
    7214823530060$90$8.3K
    7372115522040$90$6.9K
    99213957,20070$60$6.6K
    732213119040$90$6.5K
    20611619040$80$4.9K
    992048603,67030$110$4.7K
    20610673040$50$3.9K
    992034102,65030$70$3.1K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Poudre Valley Health Care Inc.COGeneral Acute Care Hospital$0$19.9M
    Poudre Valley Health Care IncCOGeneral Acute Care Hospital$0$11.8M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Poudre Valley Health Care,incCOClinic/Center$0$6.7M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Medical Center Of The RockiesCOGeneral Acute Care Hospital$0$4.8M
    Poudre Valley Health Care, IncCOMedical Specialty Clinic/Center$0$3.9M
    Ocr Fort Collins Asc & Ccc, LLCCOAmbulatory Surgical Clinic/Center$1.4M$0
    Kirk KindsfaterCOAdult Reconstructive Orthopaedic Surgery Physician$731K$0
    Clifford ClarkCOAdult Reconstructive Orthopaedic Surgery Physician$510.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$40.1M
    Foothills Gateway Inc.COIn Home Supportive Care Agency$0$34.6M
    Rocky Mountain Clinics LLCCOClinical Medical Laboratory$0$13.1M
    Foothills Gateway, Inc.COCase Manager/Care Coordinator$0$10.8M
    Svc Dental Group, LLCCOPediatric Dentistry$0$8.4M
    Summitstone Health PartnersCOMental Health Clinic/Center (Including Community Mental Health Center)$0$7.4M
    The Residence At Oakridge, LLCCOAssisted Living Facility$0$6.9M
    Reyes CorporationCOCommunity/Behavioral Health Agency$0$5.2M
    Highpointe ServicesCODevelopmentally Disabled Services Day Training Agency$0$5.1M
    Alexander Home Healthcare LLCCOIn Home Supportive Care Agency$0$3.8M

    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. Colorado Distribution
    Brian Lancaster — 7 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado