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    Robert Parker — Billing Profile & Reimbursement Data

    NPI 1972597953 · San Marcos, TX · Podiatrist

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    Robert Parker is a podiatrist provider located in San Marcos, Texas. This profile covers 5 Medicare and 8 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
    OrganizationRobert Parker
    Address1305 Wonder World Dr.
    CitySan Marcos
    StateTX
    ZIP78666
    TaxonomyPodiatrist
    NPI EnumeratedSeptember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$218.5K
    Medicaid$182K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11760The nail bed can be injured due to laceration, crush, or avulsion.  This procedure is performed to repair such damage.1,550$80$116.1K
    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…560$90$47.7K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…480$80$36.8K
    11740Use CPT code 11740 if the physician 'evacuates a nail hematoma,' which is another way of saying that he or she drained blood from under the nail.420$20$9.1K
    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$70$8.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    117601101,550$80$116.2K
    992142,85832,500110$80$17.6K
    97597938060$60$5.9K
    9920376310,82030$70$3.4K
    1174011030$30$2.7K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11760The nail bed can be injured due to laceration, crush, or avulsion.  This procedure is performed to repair such damage.1,310$80$105K
    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…1,070$20$22.4K
    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…800$20$15.2K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.280$50$13.7K
    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…240$50$12.5K
    11740Use CPT code 11740 if the physician 'evacuates a nail hematoma,' which is another way of saying that he or she drained blood from under the nail.570$10$6.2K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.200$30$6.1K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…630$1$630

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9086,040710$40$232.8K
    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…2,2165,810540$50$155.5K
    11760The nail bed can be injured due to laceration, crush, or avulsion.  This procedure is performed to repair such damage.1101,310$80$105.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.62110340$30$69.1K
    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…7141,860130$70$65.4K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.1020120$100$53K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…1050130$60$37.6K
    11740Use CPT code 11740 if the physician 'evacuates a nail hematoma,' which is another way of saying that he or she drained blood from under the nail.11070$10$2.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cole Consolidated Rehab LLCTXRehabilitation Clinic/Center$0$14.2M
    San Marcos-hays County Emergency Medical Services IncorporatedTXLand Ambulance$1M$1.4M
    Richard LawsonTXRadiation Oncology Physician$1.6M$0
    Manuel GalanTXFamily Nurse Practitioner$1.4M$0
    Jason SmithTXHematology & Oncology Physician$906.9K$0
    Margaret KelnerTXFamily Nurse Practitioner$846.2K$0
    Christus Santa Rosa Outpatient Surgery - New Braunfels, LPTXAmbulatory Surgical Clinic/Center$712.1K$0
    Curtis SolomonTXInterventional Cardiology Physician$320.4K$0
    Kirk PainterTXPhysical Therapist$271.1K$0
    Alan LeeTXFamily Medicine Physician$225.1K$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. Texas Distribution
    Robert Parker — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Robert Parker — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas