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    OpenPayerNPI Medicare & MedicaidKarl Rose
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    Karl Rose — Billing Profile & Reimbursement Data

    NPI 1235136029 · Kettering, OH · Family Medicine Physician

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    Karl Rose is a family medicine physician provider located in Kettering, Ohio. This profile covers 9 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.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationKarl Rose
    Address3017 Wilmington Pike
    CityKettering
    StateOH
    ZIP45429
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicare$100K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…610$110$68.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…570$40$24K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…150$20$3.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$2.2K
    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…20$70$1.4K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$300
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$170
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…30$1$140
    82270The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…20$1$60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921417,80820,010100$70$11.7K
    9949023420100$40$8.1K
    G04394,0404,72060$90$7.4K
    9921594,95030$110$5.9K
    710469931,28060$10$1.7K
    G2212913030$20$1.5K
    930001,5112,42030$10$930
    81000428040$1$390
    82270395020$1$150

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kav Health Group LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$24.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Kettering Network Radiologists IncOHDiagnostic Radiology Physician$0$16.1M
    Assisted Care By Black Stone Of Dayton, LLCOHHome Health Agency$0$12.4M
    City Of KetteringOHAmbulance$431.8K$1.1M
    Shahzad FarukhiOHInternal Medicine Physician$69.3K$1.4M
    Eugene KirklandOHDermatology Physician$1.3M$0
    Phillip HallOHMOHS-Micrographic Surgery Physician$651.7K$0
    Jason BallinOHDermatology Physician$578.9K$0

    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. Ohio Distribution
    Karl Rose — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio