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    OpenPayerNPI Medicare & MedicaidKenneth Fulks
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    Kenneth Fulks — Billing Profile & Reimbursement Data

    NPI 1144237751 · Columbia, TN · Plastic and Reconstructive Surgery Physician

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    Kenneth Fulks is a plastic and reconstructive surgery physician provider located in Columbia, Tennessee. This profile covers 7 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
    OrganizationKenneth Fulks
    Address1601 Hatcher Ln
    CityColumbia
    StateTN
    ZIP38401
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicare$54.8K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.60$480$29K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.10$630$8.1K
    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…80$80$6K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…20$350$5.3K
    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…50$60$2.9K
    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,…60$40$2.2K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…30$40$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    15260284020$670$14.6K
    1406036020$530$13.7K
    14040193020$460$10.2K
    992137,07611,03080$50$8K
    992036403,75030$70$3.1K
    992125672,14030$30$2K
    9920211843020$40$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maury Regional Medical Group, IncTNFamily Medicine Physician$0$6.5M
    Lucas WilmoreTNAddiction Medicine (Family Medicine) Physician$4.4K$4.6M
    Gibran NaddyTNInternal Medicine Physician$545K$28.9K
    Nilay PatelTNSurgery Physician$445.2K$0
    Justin KropfTNUrology Physician$376K$0
    Stephen PareyTNOtolaryngology Physician$360.3K$0
    Joe MobleyTNSpecialist$281.8K$0
    Varun DhulipalaTNHematology & Oncology Physician$276.7K$0
    Richard KennedyTNFamily Medicine Physician$242.8K$0
    Jawaid KamalTNInternal Medicine Physician$26.9K$215.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maury Regional HospitalTNGeneral Acute Care Hospital$0$24.6M
    Cedar Recovery Center Of Middle Tennessee, LLCTNAddiction Medicine (Preventive Medicine) Physician$0$21.4M
    Columbia Pediatric Clinic, Inc.TNPrimary Care Clinic/Center$0$20.5M
    The King's Daughters' SchoolTNIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$6.7M
    Right Care IncTNPrimary Care Clinic/Center$0$4.4M
    Caris HealthcareTNCommunity Based Hospice Care Agency$0$3.8M
    Medical Necessities & Services LLCTNOxygen Equipment & Supplies (DME)$0$3.3M
    Pca Of Columbia, Inc.TNCytopathology Physician$1.8M$1.4M
    South Central Tn Development DistrictTNNon-emergency Medical Transport (VAN)$0$3.1M
    Children's Dental AssociatesTNPediatric Dentistry$0$2.7M

    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. Tennessee Distribution
    Kenneth Fulks — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee