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    OpenPayerNPI Medicare & MedicaidEdwin Avbuere
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    Edwin Avbuere — Billing Profile & Reimbursement Data

    NPI 1013019470 · Greensboro, NC · Internal Medicine Physician

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    Edwin Avbuere is a internal medicine physician provider located in Greensboro, North Carolina. This profile covers 21 Medicare and 38 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
    OrganizationEdwin Avbuere
    Address3231 Yanceyville Street
    CityGreensboro
    StateNC
    ZIP27405
    TaxonomyInternal Medicine Physician
    NPI EnumeratedSeptember 5, 2006

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

    Payer SourceTotal Paid
    Medicaid$263.3K
    Medicare$65.9K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$80$20.3K
    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…270$50$13.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$120$11.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$100$3.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.90$30$2.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…190$10$1.9K
    G0008Administration of influenza virus vaccine60$30$1.8K
    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,…50$30$1.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.180$10$1.4K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.340$1$1.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,43618,060110$80$15.1K
    G04391,3124,16060$120$10.5K
    992153,0715,72040$110$7.7K
    9945477130110$40$7.5K
    992132,02716,32070$50$7.1K
    364151,0793,49090$10$6.4K
    830363992,74060$10$4K
    8257026399040$10$2.4K
    G00081,8054,58050$30$2.3K
    992129612,89030$30$2.1K

    Showing 1–10 of 21

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…6,140$30$159.5K
    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$30$20.1K
    3044FThe A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…820$20$13.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit600$20$10.8K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…320$30$10.1K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.230$30$6.5K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.630$10$4.4K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…530$10$3.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$80$3.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.250$10$2.8K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99199Use this code to report other medicine services or procedures for which there is no specific code available.2,3112,85010,910$10$330.3K
    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…7354,400960$60$271.3K
    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…1,9264,130670$50$219.9K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2162201,540$10$118.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…8421,130160$80$75.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…60550180$10$50.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.7841,570160$20$45K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…127320190$30$39.2K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…26100190$1$36.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…592790240$10$17.8K

    Showing 1–10 of 38

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rha Health Services Nc, LLCNCCase Management Agency$0$32.6M
    Triad Adult And Pediatric Medicine, Inc.NCFederally Qualified Health Center (FQHC)$0$29.2M
    Amethyst Consulting & Treatment Solutions, PLLCNCSocial Worker$0$25.5M
    Cheshire Speech And Voice Center IncNCSpeech-Language Pathologist$0$20.5M
    United Youth Care ServicesNCClinical Medical Laboratory$0$20.2M
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$17.8M
    County Of GuilfordNCState or Local Public Health Clinic/Center$0$16.9M
    Professional Rehabilitation ConsultantsNCRehabilitation Psychologist$0$16M
    Regional Home Care, Inc.NCIn Home Supportive Care Agency$0$14.8M
    Ally Home Care Greensboro, LLCNCIn Home Supportive Care Agency$0$11.6M

    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. North Carolina Distribution
    Edwin Avbuere — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Edwin Avbuere — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina