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    OpenPayerNPI Medicare & MedicaidPaul Mitchell
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    Paul Mitchell — Billing Profile & Reimbursement Data

    NPI 1053354118 · Norfolk, VA · Neurological Surgery Physician

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    Paul Mitchell is a neurological surgery physician provider located in Norfolk, Virginia. This profile covers 12 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
    OrganizationPaul Mitchell
    Address301 Riverview Ave Ste 202a
    CityNorfolk
    StateVA
    ZIP23510
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$63.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…40$300$12.2K
    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…250$50$12K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$590$10.1K
    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…70$100$7.1K
    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…90$60$5.3K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…20$200$4.4K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$180$3.6K
    62362The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…10$230$2.6K
    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…60$40$2.2K
    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…30$80$2.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,15312,890140$80$21K
    22614558050$220$13.8K
    992324,2734,46080$60$11K
    992132,48912,44090$60$10K
    22842569020$440$9.2K
    228539213040$140$6.6K
    61783204020$170$4.5K
    992224713,12030$100$4.4K
    992037434,92030$70$3.8K
    6236211010$240$2.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parker BabingtonVANeurological Surgery Physician$201.9K$0
    Juliette BeristainVAPhysician Assistant$39.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hope House FoundationVADevelopmentally Disabled Services Day Training Agency$0$77.9M
    City Of NorfolkVAAmbulance$1.7M$9.5M
    Doreen Home Health Care LLCVAHome Health Agency$0$10.3M
    C&e Adult Services Inc.VACommunity/Behavioral Health Agency$0$9.2M
    East Coast Family ServicesVACommunity/Behavioral Health Agency$0$8.8M
    Envision Family Services, LLCVACommunity/Behavioral Health Agency$0$6.9M
    Prime Care Home Health Services LLCVAHome Health Agency$0$6.2M
    Norfolk City Public SchoolsVALocal Education Agency (LEA)$0$5.8M
    Dominion Pathology Laboratories PCVAClinical Medical Laboratory$2.9M$271.9K
    Philip GentleskVAClinical Cardiac Electrophysiology Physician$349K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Paul Mitchell — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia