Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidHarold Rutledge
    Ask Trek AI about this page

    Harold Rutledge — Billing Profile & Reimbursement Data

    NPI 1184666521 · Somerset, KY · Interventional Pain Medicine Physician

    Customize your policy alerts

    Sign up for Harold Rutledge — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Harold Rutledge is a interventional pain medicine physician provider located in Somerset, Kentucky. 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHarold Rutledge
    Address305 Langdon St
    CitySomerset
    StateKY
    ZIP42503
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedJune 11, 2006

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

    Payer SourceTotal Paid
    Medicare$45.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…250$70$16.3K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…80$70$5.9K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…80$70$5.7K
    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…120$40$4.9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…50$80$4.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$130$2.9K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…50$50$2.5K
    62370The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…80$30$2.1K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…20$40$950
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…10$30$310

    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
    64635669040$390$23.5K
    623231412080$130$15K
    644935310060$160$13K
    64636608040$190$9.8K
    992132,7627,25080$50$7.7K
    27096259040$110$7.5K
    62321167030$140$6.5K
    64494479060$80$5.2K
    62370113060$50$4.1K
    20553687030$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lake Cumberland Surgery Center LPKYAmbulatory Surgical Clinic/Center$1M$8.7M
    N MullaiKYHematology & Oncology Physician$840.6K$0
    Melissa ChengKYNurse Practitioner$703.4K$0
    Michelle KingKYFamily Nurse Practitioner$230.2K$0
    Amr El-naggarKYNeurological Surgery Physician$227.7K$0
    Kenneth RubyKYUrology Physician$193.1K$0
    Daniel YanickoKYOrthopaedic Surgery Physician$117.5K$0
    Shawn AcinoKYUrology Physician$103.2K$0
    Todd HornKYGastroenterology Physician$97K$0
    Charles HatmakerKYSurgical Physician Assistant$81.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Morrland Healthcare LLCKYCommunity/Behavioral Health Agency$0$54.8M
    Applied Behavioral Advancements, LLCKYCommunity/Behavioral Health Agency$0$29.2M
    Protea Behavioral Health Counseling, PLLCKYProfessional Counselor$0$24.4M
    Lake Cumberland Regional Hospital, LLCKYInternal Medicine Physician$0$15.6M
    Cumberland Behavior Group, LLCKYCommunity/Behavioral Health Agency$0$15.2M
    Quest CounselingKYMental Health Counselor$0$12.5M
    Lake Cumberland Recovery, IncKYSubstance Use Disorder Rehabilitation Clinic/Center$0$11.8M
    Achievements Through ActionsKYDevelopmentally Disabled Services Day Training Agency$0$10M
    Adult Day Health, Inc.KYAdult Day Care Clinic/Center$0$8.9M
    Infinite Abilities & Supports, Inc.KYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.9M

    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. Kentucky Distribution
    Harold Rutledge — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky