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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Yau
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    Paul Yau — Billing Profile & Reimbursement Data

    NPI 1205038122 · Knoxville, TN · Orthopaedic Surgery Physician

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    Paul Yau is a orthopaedic surgery physician provider located in Knoxville, Tennessee. This profile covers 12 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
    OrganizationPaul Yau
    Address1819 Clinch Ave Ste 100
    CityKnoxville
    StateTN
    ZIP37916
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 4, 2007

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

    Payer SourceTotal Paid
    Medicare$153.1K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…90$910$79.9K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$920$41.2K
    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…280$60$16.5K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…160$30$4.9K
    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…40$90$3.1K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…20$100$2.3K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.60$30$1.7K
    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,…30$30$990
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…10$70$910
    77077The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.30$30$780

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274479628030$1,440$67.8K
    271301217030$1,480$53.1K
    992149,09511,370120$80$16.6K
    992131,62711,03080$50$8K
    2061120021050$70$6.3K
    206109771,00070$40$5.5K
    0055T142040$100$5.3K
    992121,1182,14030$30$2K
    7356227979040$20$1.6K
    7707731020$30$1.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Orthopaedic Alliance PATNOrthopaedic Surgery Physician$0$5.6M
    Henry IgidNVHematology & Oncology Physician$922K$0
    James EbyTNPhysical Medicine & Rehabilitation Physician$309.5K$22.2K
    Matthew BarrettTNOrthopaedic Surgery Physician$304.4K$0
    Edward MackeyTNOrthopaedic Surgery Physician$291.4K$0
    Lucas RouthTNOrthopaedic Surgery Physician$285K$0
    Joseph WadeTNOrthopaedic Surgery Physician$272.2K$0
    Harold CatesTNOrthopaedic Surgery Physician$260.4K$0
    Philip KarposTNOrthopaedic Surgery Physician$251.4K$0
    William DevriesTNOrthopaedic Surgery Physician$250.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Tennessee Children's Hospital Association, Inc.TNChildren's Hospital$0$88.6M
    Fort Sanders Perinatal CenterTNMaternal & Fetal Medicine Physician$0$46.5M
    East Tennessee Children's Primary Care Center, Inc.TNPediatrics Physician$0$31.4M
    Fort Sanders Regional Medical CenterTNGeneral Acute Care Hospital$0$26.8M
    Vista Radiology, PC.TNDiagnostic Radiology Physician$0$10.7M
    Allergy & Asthma Affiliates, PCTNAllergy & Immunology Physician$0$7M
    Knoxville Pediatric Associates, P.C.TNPediatrics Physician$0$6.1M
    American Anesthesiology Of Tennessee, P.C.TNCertified Registered Nurse Anesthetist$0$4.9M
    Dba: Dolly Parton Children's Hospital CardiologyTNPediatric Cardiology Physician$0$3.5M
    Knoxville Pediatric Ophthalmology, PLLCTNOphthalmology Physician$0$3.3M

    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.

    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. Tennessee Distribution
    Paul Yau — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee