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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVernon Pugh
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    Vernon Pugh — Billing Profile & Reimbursement Data

    NPI 1083683726 · Raleigh, NC · Vascular & Interventional Radiology Physician

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    Vernon Pugh is a vascular & interventional radiology physician provider located in Raleigh, North Carolina. This profile covers 16 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.

    Provider details (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 6

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    FieldValue
    Entity TypeIndividual
    OrganizationVernon Pugh
    Address3400 Wake Forest Rd
    CityRaleigh
    StateNC
    ZIP27609
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedMarch 15, 2006

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

    Payer SourceTotal Paid
    Medicare$33.3K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$740$13.3K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…70$80$5.8K
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…50$40$2.3K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.30$70$2.2K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…40$50$2.1K
    32408In this procedure, the provider removes a core tissue sample from a lung or the mediastinum to diagnose conditions such as lung or mediastinal cancer. The code includes imaging guidance, when…10$120$1.3K
    47000The provider removes a small sample of tissue from the liver through a small incision in the skin. The provider commonly performs this service to diagnose liver disease, to assess the severity of a…20$70$1.2K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…70$20$1.2K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…20$50$1K
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.50$20$810

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    365615313020$280$5.3K
    49083916030$70$2.9K
    325558315030$80$2.6K
    32408222020$110$1.9K
    100058012020$80$1.6K
    382224211020$50$1.1K
    77012713020$50$1.1K
    7694219644020$30$980
    4700013010$60$840
    4945041020$50$820

    Showing 1–10 of 16

    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
    Vernon Pugh — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina