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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLon Abney
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    Lon Abney — Billing Profile & Reimbursement Data

    NPI 1962883272 · Durango, CO · Cardiovascular Disease Physician

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    Lon Abney is a cardiovascular disease physician provider located in Durango, Colorado. 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
    OrganizationLon Abney
    Address1 Mercado St Ste 130
    CityDurango
    StateCO
    ZIP81301
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJune 11, 2015

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

    Payer SourceTotal Paid
    Medicare$53.1K
    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
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…250$50$12.1K
    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…130$70$8.8K
    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…190$50$8.8K
    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…130$60$7.2K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…100$30$3.4K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.520$10$3.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$60$2.2K
    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…20$90$1.7K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…60$20$930

    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
    93306124290200$60$14.4K
    992142,8258,16080$80$11.3K
    992131,2647,20070$60$6.6K
    7845210717050$100$6.4K
    992042,5023,67030$110$4.7K
    992031202,65030$70$3.1K
    992223041,15020$100$2.7K
    9301071800110$10$1.4K
    99202930020$40$1.2K
    932485411030$20$1.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinton J Baird PlcOKNeurological Surgery Physician$0$2.6M
    Paul ZitoOKHematology & Oncology Physician$2.2M$0
    Benjamin DownieNMMedical Oncology Physician$1.5M$0
    Abigail OwunnaTXFamily Nurse Practitioner$1.2M$0
    Michael GravesTXMOHS-Micrographic Surgery Physician$645.3K$0
    Daniel CarrascoTXDermatology Physician$620.2K$0
    Christopher GrahamTXUrology Physician$432K$0
    Austin ChangTXOphthalmology Physician$335.6K$0
    Fotini ChalkiasTXCardiovascular Disease Physician$335.3K$0
    Jacob ManuelTXOrthopaedic Surgery Physician$332.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$18.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$6M
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.3M
    Nicholas HugentoblerCOFoot & Ankle Surgery Podiatrist$1.9M$0
    Kyle PiwonkaCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Sano Vita IncCOCommunity/Retail Pharmacy$86.6K$359.1K
    Joshua ZastrockyCOOphthalmology Physician$352.5K$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.

    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
    Lon Abney — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado