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    OpenPayerNPI Medicare & MedicaidRobert Knowles
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    Robert Knowles — Billing Profile & Reimbursement Data

    NPI 1013915602 · Roanoke, VA · Surgery Physician

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    Robert Knowles is a surgery physician provider located in Roanoke, Virginia. 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
    OrganizationRobert Knowles
    Address101 Elm Ave Se
    CityRoanoke
    StateVA
    ZIP24013
    TaxonomySurgery Physician
    NPI EnumeratedJuly 8, 2005

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

    Payer SourceTotal Paid
    Medicare$44.1K
    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.

    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…410$50$19K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…100$60$6.1K
    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 cm2.110$40$5K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.70$60$4.5K
    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…70$60$3.9K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.7K
    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,…60$30$1.5K
    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…10$100$1.3K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…20$40$610
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.20$20$460

    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
    992131,22612,44090$60$10K
    110429827080$70$9.6K
    992222,7243,12030$100$4.4K
    992031,1474,92030$70$3.8K
    1527122050$80$3.5K
    17250334030$40$3.5K
    992316011,50040$40$2.4K
    992128162,83030$40$2.3K
    992211556020$60$1.8K
    G018035854020$40$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAGeneral Acute Care Hospital$0$124.7M
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion New River Valley Medical CenterVAGeneral Acute Care Hospital$0$32.4M
    Carilion Healthcare CorporationVAMulti-Specialty Clinic/Center$0$26.1M
    Carilion Franklin Memorial HospitalVAGeneral Acute Care Hospital$0$18.4M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Carilion Rockbridge Community HospitalVACritical Access Hospital$0$11.8M
    John MarshVAFamily Medicine Physician$457.4K$5.1K
    William McclungVAFamily Medicine Physician$367.4K$0
    Chris CovingtonTNPhysical Medicine & Rehabilitation Physician$268.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics Clinical Laboratories IncVAClinical Medical Laboratory$378.1K$15.7K
    David KageyVAUrology Physician$222.3K$500
    Susan KinnisonVASurgery Physician$161.8K$0
    Donna MusgraveVAObstetrics & Gynecology Physician$126.5K$0
    William GreerVAObstetrics & Gynecology Physician$99.9K$0
    Vicki FitzpatrickVAPhysician Assistant$36.4K$0
    Sarah EvansVAObstetrics & Gynecology Physician$28.3K$0
    Laboratory Corporation Of America HoldingsVAClinical Medical Laboratory$2.7K$19.9K

    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. Virginia Distribution
    Robert Knowles — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia