NEVVI Medicare utilization intelligence

← back

FAULKNER, JOHNMD NPI 1497741722 Clinician

Urology · RANCHO MIRAGE, CA

Specialty Urology — from billed Medicare claims
Trained BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY — medical school, self-reported to CMS
In practice about 28 years since medical school (class of 1998, self-reported to CMS)
Location RANCHO MIRAGE, CA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 22 codes billed · 2,330 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2020-07

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

Notify me at launch → Or see a live example profile →

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
52000 Diagnostic exam of bladder and urethra using an endoscope premiumpremium premiumpremium
52287 Exam with injections of chemical for destruction of bladder using an endoscope premiumpremium premiumpremium
55700 Biopsy of prostate gland premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
76872 Ultrasound scan of pelvic region through rectum premiumpremium premiumpremium
52648 Complete laser vaporization of prostate including control of bleeding using an endoscope premiumpremium premiumpremium
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes premiumpremium premiumpremium
52332 Insertion of stent in ureter using an endoscope premiumpremium premiumpremium
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes premiumpremium premiumpremium
76942 Ultrasonic guidance for needle placement premiumpremium premiumpremium
52281 Dilation of urethra using an endoscope premiumpremium premiumpremium
74420 Imaging of urinary tract following injection of a contrast agent premiumpremium premiumpremium
54235 Injection procedure to cause erection premiumpremium premiumpremium
51702 Simple insertion of temporary bladder tube premiumpremium premiumpremium
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
51700 Simple bladder irrigation and/or instillation premiumpremium premiumpremium
0421T Waterjet destruction of prostrate accessed through the urethra premiumpremium premiumpremium
52356 Crushing of stone of ureter with insertion of stent using an endoscope premiumpremium premiumpremium
51741 Electronic assessment of bladder emptying premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.