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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Overton
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    Edward Overton — Billing Profile & Reimbursement Data

    NPI 1093753329 · Charlotte, NC · Pain Medicine (Physical Medicine & Rehabilitation) Physician

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    Edward Overton is a pain medicine (physical medicine & rehabilitation) physician provider located in Charlotte, North Carolina. 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
    OrganizationEdward Overton
    Address2315 W Arbors Dr Ste 115
    CityCharlotte
    StateNC
    ZIP28262
    TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicare$36.5K
    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.

    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…160$60$8.6K
    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…100$70$6.7K
    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).40$160$6.4K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…20$150$3.6K
    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$120$3K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…40$80$2.9K
    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…30$80$2.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg320$10$1.6K
    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…20$70$1.5K
    J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)130$1$130

    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
    6448316325060$190$20.4K
    9921415,76618,060110$80$15.1K
    992133,98816,32070$50$7.1K
    958865319060$70$7.1K
    959114110020$150$5.2K
    95910409020$120$4.6K
    644847714040$80$4.1K
    992033,5915,45030$70$3.1K
    J0702116430180$1$1.4K
    J704033050$1$80

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Herman GoreNCPhysical Medicine & Rehabilitation Physician$286.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Of North Carolina, LLCNCIn Home Supportive Care Agency$0$134.4M
    Care Well Of Charlotte IncNCIn Home Supportive Care Agency$0$74.4M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$40.8M
    Bayada Home Health Care, Inc.NCCommunity/Behavioral Health Agency$0$38.2M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$37.5M
    Valleygate Dental Surgery Center Of Charlotte LLCNCAmbulatory Surgical Clinic/Center$0$26.3M
    Infinium Health Services LLCNCNursing Care Agency$0$18.3M
    Continuum Care Services, Inc.NCCommunity/Behavioral Health Agency$0$16.1M
    Novant Health Medical Group, LLCNCInternal Medicine Physician$0$15.3M

    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
    Edward Overton — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina