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    OpenPayerNPI Medicare & MedicaidMatthew Johnson
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    Matthew Johnson — Billing Profile & Reimbursement Data

    NPI 1962842864 · Sioux Falls, SD · Anatomic Pathology & Clinical Pathology Physician

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    Matthew Johnson is a anatomic pathology & clinical pathology physician provider located in Sioux Falls, South Dakota. This profile covers 14 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
    OrganizationMatthew Johnson
    Address1301 S Cliff Ave Ste 700
    CitySioux Falls
    StateSD
    ZIP57105
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 25, 2013

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

    Payer SourceTotal Paid
    Medicare$126.6K
    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.

    14 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…2,770$30$72.1K
    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…270$60$16.5K
    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…390$20$8.5K
    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,…280$30$7.3K
    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…40$110$4.3K
    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…90$50$4.1K
    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…160$20$3.3K
    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$50$3K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$130$2.9K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…80$20$1.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883057601,030$30$39.1K
    88307730160$60$12.6K
    88342830210$30$6.8K
    88341830210$20$6.7K
    8830992040$110$4.5K
    8817392050$60$3.5K
    8833142070$50$3.2K
    G041651020$130$2.9K
    8811252080$20$2.2K
    8831252050$20$1.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Physicians Laboratory, Ltd.SDAnatomic Pathology & Clinical Pathology Physician$22.2K$1M
    Physicians Laboratory, Ltd.SDAnatomic Pathology & Clinical Pathology Physician$7K$944K
    Neil BansalNJNeuroradiology Physician$351.9K$0
    Orvar JonssonSDAdvanced Heart Failure and Transplant Cardiology Physician$315.3K$0
    Kelly SteffenSDCardiovascular Disease Physician$276.3K$0
    J BacharachSDCardiovascular Disease Physician$206.7K$0
    Matthew CaseyMNDiagnostic Radiology Physician$187.7K$0
    Casey SwensonNDDiagnostic Radiology Physician$163.6K$0
    Christopher StantonSDClinical Cardiac Electrophysiology Physician$148.5K$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. South Dakota Distribution
    Matthew Johnson — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota