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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRonald Pearson
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    Ronald Pearson — Billing Profile & Reimbursement Data

    NPI 1063466803 · Blue Ridge, GA · Surgery Physician

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    Ronald Pearson is a surgery physician provider located in Blue Ridge, Georgia. This profile covers 11 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
    OrganizationRonald Pearson
    Address2855 Old Highway 5 Ste 108
    CityBlue Ridge
    StateGA
    ZIP30513
    TaxonomySurgery Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$54.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$500$10K
    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…180$50$8.9K
    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…90$70$6.7K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$140$4.8K
    99204The provider sees a new 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 provider…50$90$4.8K
    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…120$40$4.6K
    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…60$70$4.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$190$4.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.50$80$3.9K
    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,…100$30$2.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453855347060$290$26.6K
    992141,38913,640120$80$17.8K
    432393549070$120$11.9K
    9921370713,36080$60$9.2K
    4756237010$420$7.2K
    453781128020$190$5.6K
    992042807,26030$110$5.1K
    992038155,35030$70$3.3K
    99231671,31040$40$2.3K
    992121192,72030$40$2.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stonewall Jackson Memorial Hospital CompanyWVRural Acute Care Hospital$0$13M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.3M
    Minnie Hamilton Health Care Center, Inc.WVCritical Access Hospital$0$6.9M
    Braxton County Memorial HospitalWVCritical Access Hospital$0$4.9M
    Minnie Hamilton Health Care Center, Inc.WVRural Health Clinic/Center$0$4M
    Minnie Hamilton Health Care Center, Inc.WVFederally Qualified Health Center (FQHC)$0$3.7M
    Braxton County Memorial HospitalWVRural Health Clinic/Center$0$2.8M
    Braxton County Memorial HospitalWVCritical Access Hospital$0$2.2M
    Hidden Valley Medical Center IncGAInternal Medicine Physician$0$1.5M
    Adnan AlghadbanWVNeurology Physician$533K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med-trans CorporationGAAir Ambulance$909.4K$0
    Function Junction IncGAOccupational Therapist$0$575.2K
    Deborah MikosGAProfessional Counselor$0$309.2K
    Elias IssaGAInternal Medicine Physician$216.4K$0
    Sharon BrownGAFamily Nurse Practitioner$146.8K$0
    Marilyn WilliamsGANurse Practitioner$138.8K$0
    Deborah PietrangeloGAFamily Nurse Practitioner$136.5K$0
    Dean WorthingstunGAOrthopaedic Hand Surgery Physician$108.1K$2K
    Joshua SnearlyGAFamily Nurse Practitioner$108.3K$0
    Ingles Markets IncGACommunity/Retail Pharmacy$98.2K$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.

    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. Georgia Distribution
    Ronald Pearson — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia