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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZane Walsh
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    Zane Walsh — Billing Profile & Reimbursement Data

    NPI 1033111760 · Fayetteville, NC · Physical Medicine & Rehabilitation Physician

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    Zane Walsh is a physical medicine & rehabilitation physician provider located in Fayetteville, North Carolina. This profile covers 20 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
    OrganizationZane Walsh
    Address2930 Village Dr
    CityFayetteville
    StateNC
    ZIP28304
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedAugust 12, 2005

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

    Payer SourceTotal Paid
    Medicare$204.5K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,680$40$63.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…560$60$34.3K
    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…330$100$32.8K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…180$90$15.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$210$12.6K
    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…160$60$9.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$130$5.4K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…30$130$4.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…80$50$4.2K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…30$150$4.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448312825060$190$20.4K
    9921416,61718,060110$80$15.1K
    6449316622050$160$9.9K
    992321745,69070$60$8.1K
    2709617920040$120$7.2K
    992133,95416,32070$50$7.1K
    958866119060$70$7.1K
    992231,8074,58030$130$6.5K
    99239912,38050$80$5.6K
    959117210020$150$5.2K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cumberland County Hospital System IncNCGeneral Acute Care Hospital$0$75.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$32.8M
    Valleygate Dental Surgery Center Of Fayetteville, LLCNCAmbulatory Surgical Clinic/Center$0$26.5M
    Cfvhs Ed PhysiciansNCEmergency Medicine Physician$0$26.2M
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$14.2M
    Pediatric Developmental TherapyNCSpeech-Language Pathologist$0$12.1M
    Cumberland County Hospital System IncNCInternal Medicine Physician$0$8M
    Calvary PediatricsNCPediatrics Physician$0$7.8M
    Children's Health Of Carolina, PANCPediatrics Physician$0$7.6M
    Chauncy NelsonNCOrthodontics and Dentofacial Orthopedics Dentistry$0$7.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Zane Walsh — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina