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    OpenPayerNPI Medicare & MedicaidBenjamin Nordby
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    Benjamin Nordby — Billing Profile & Reimbursement Data

    NPI 1972765402 · Provo, UT · Family Medicine Physician

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    Benjamin Nordby is a family medicine physician provider located in Provo, Utah. This profile covers 10 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
    OrganizationBenjamin Nordby
    Address395 W Cougar Blvd Ste 205
    CityProvo
    StateUT
    ZIP84604
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 26, 2008

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

    Payer SourceTotal Paid
    Medicare$21.9K
    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.

    10 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…180$60$10.2K
    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…60$70$4.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$40$2.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…50$40$1.8K
    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…40$40$1.5K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.30$20$510
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$340
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$10$170
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$10$100
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…30$1$90

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131,2473,68060$50$6.4K
    992033951,36030$70$2.7K
    9921234868030$40$1.9K
    364151,42687050$10$1.6K
    992026713020$40$1.3K
    7104650541030$10$790
    8742684020$30$680
    87804234020$20$490
    878804513020$20$290
    810026118030$1$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Physician Associates, IncIARural Health Clinic/Center$0$3.9M
    Mercy Care Management, IncIAFamily Medicine Physician$0$2.2M
    Mercy Care Management, IncIAFamily Medicine Physician$0$1.6M
    Mercy Physician Associates, IncIAFamily Medicine Physician$0$945.7K
    Melanie StahlbergIAInternal Medicine Physician$262.5K$0
    Jason BoothIAFamily Medicine Physician$214K$0
    Trisha SheeleyIAInternal Medicine Physician$198.9K$0
    John BrownellIAFamily Medicine Physician$195.2K$0
    Fadi YacoubIAInternal Medicine Physician$183.3K$0
    Arun MovvaIAEndocrinology, Diabetes & Metabolism Physician$182.3K$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. Utah Distribution
    Benjamin Nordby — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah