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 & MedicaidJohn Bomalaski
    Ask Trek AI about this page

    John Bomalaski — Billing Profile & Reimbursement Data

    NPI 1942273958 · Lexington, KY · Gynecologic Oncology Physician

    Customize your policy alerts

    Sign up for John Bomalaski — 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.

    John Bomalaski is a gynecologic oncology physician provider located in Lexington, Kentucky. This profile covers 26 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
    OrganizationJohn Bomalaski
    Address1700 Nicholasville Rd Ste 1100
    CityLexington
    StateKY
    ZIP40503
    TaxonomyGynecologic Oncology Physician
    NPI EnumeratedFebruary 9, 2006

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

    Payer SourceTotal Paid
    Medicare$110.8K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    58571The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…40$740$29.7K
    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…230$60$14.6K
    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…150$100$14.3K
    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$130$7K
    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…40$160$5.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…60$100$5.5K
    38570The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and…30$200$5K
    58662The provider destroys or excises lesions, tumors, or cysts found on the ovary, around the bladder, uterus, rectum, or on the peritoneum through a laparoscope.10$450$5K
    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…30$120$4.2K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…20$170$3.7K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    964133850100$90$16.7K
    992331,7541,80080$90$14.1K
    992142,8497,230110$70$14.1K
    5857111020$570$9.6K
    992231,7451,94040$130$8.6K
    992131,3017,25080$50$7.7K
    992154381,44030$110$6.3K
    3857011030$200$5K
    36561296020$260$5K
    5866211010$450$5K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Irfan AfaqINSpecialist$84.2K$6M
    Corey HatfieldKYRheumatology Physician$736.3K$0
    Ibraiz IqbalKYInterventional Cardiology Physician$197K$392.3K
    Avichai EresKYInterventional Cardiology Physician$537K$0
    Mubashir QaziKYInterventional Cardiology Physician$530.1K$0
    Alexander BrownKYRheumatology Physician$521.7K$0
    Gaurang ShahKYInternal Medicine Physician$173K$283.9K
    Vikas SinghINInterventional Cardiology Physician$300.8K$0
    Sandeep SharmaKYPulmonary Disease Physician$297.9K$0
    NPI 1447411459——$279.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$98.1M
    Encore Adhc, LLCKYAdult Day Care Clinic/Center$0$51.9M
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$28.7M
    Lhcg Lxx, LLCKYHome Health Agency$0$27.1M
    P & C Labs, LLCKYClinical Medical Laboratory$427.3K$18M
    Healthfirst Bluegrass IncKYFederally Qualified Health Center (FQHC)$0$18.1M
    Ndt Care Services, LLCKYCommunity/Behavioral Health Agency$0$17.5M
    Lexington Urgent Care PLLCKYUrgent Care Clinic/Center$0$16.7M
    Ballard Wright, Md, PscKYInterventional Pain Medicine Physician$0$12.4M
    Big Smiles Kentucky PscKYDentist$0$12.3M

    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. Kentucky Distribution
    John Bomalaski — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky