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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Rawles
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    Robert Rawles — Billing Profile & Reimbursement Data

    NPI 1194959387 · North Chesterfield, VA · Orthopaedic Hand Surgery Physician

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    Robert Rawles is a orthopaedic hand surgery physician provider located in North Chesterfield, Virginia. This profile covers 28 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
    OrganizationRobert Rawles
    Address1400 Johnston Willis Dr
    CityNorth Chesterfield
    StateVA
    ZIP23235
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 4, 2009

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

    Payer SourceTotal Paid
    Medicare$198.1K
    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.

    28 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…400$60$25.2K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.70$320$22K
    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…190$90$17.4K
    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…210$70$15.5K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…30$460$13.9K
    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…110$110$12.3K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$660$10.5K
    25607The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes the…20$590$9.4K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…10$660$9.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$270$8.5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560711020$1,820$27.3K
    2984894040$430$21.5K
    992145,25112,890140$80$21K
    26123102020$830$16.5K
    25447234020$580$15.6K
    64721399030$420$15.4K
    26480133020$580$14.4K
    26055389030$290$13.3K
    992131,24612,44090$60$10K
    6471833020$440$8K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthovirginia, Inc.VAMulti-Specialty Clinic/Center$0$23.8M
    Anne Arundel Dermatology LLCMDDermatology Physician$0$7.3M
    Mark JonesVAOrthopaedic Foot and Ankle Surgery Physician$667K$0
    Joshua HerzogVAOrthopaedic Surgery Physician$659.3K$0
    Abilio ReisVAOrthopaedic Surgery Physician$472K$0
    William NordtVASports Medicine (Orthopaedic Surgery) Physician$459K$0
    Anthony GregoriaVAPhysical Therapist$438.8K$0
    Zdzislaw RatajczakVASports Medicine (Family Medicine) Physician$424.4K$3.2K
    Charles GibellatoVAPhysical Medicine & Rehabilitation Physician$426.8K$0
    Charles FranklinVARheumatology Physician$425.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lighthouse Behavioral Health Center, LLCVACommunity/Behavioral Health Agency$0$16.5M
    Radiology Associates Of Richmond IncVADiagnostic Radiology Physician$0$14.2M
    Hobby Home Care, LLCVAHome Health Agency$0$12M
    The Pediatric Connection, IncVANursing Care Agency$0$11.7M
    Caremed, IncVAHome Health Agency$0$10.7M
    Care Advantage, IncVAHome Health Agency$0$10.7M
    Family Guidance Of VirginiaVACommunity/Behavioral Health Agency$0$9.6M
    Daily Grace, LLCVACommunity/Behavioral Health Agency$0$9.1M
    Trinity Care LLCVACommunity/Behavioral Health Agency$0$7.8M
    Stony Point Surgery Center, L.L.CVAAmbulatory Surgical Clinic/Center$4.9M$1.4M

    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. Virginia Distribution
    Robert Rawles — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia