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

    NPI 1235289596 · Little Rock, AR · Adult Reconstructive Orthopaedic Surgery Physician

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    Paul Edwards is a adult reconstructive orthopaedic surgery physician provider located in Little Rock, Arkansas. This profile covers 22 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 Edwards
    Address5220 Northshore Dr
    CityLittle Rock
    StateAR
    ZIP72118
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicare$369.2K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…80$1,210$99.2K
    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…70$920$66.5K
    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$910$40.8K
    27134In this procedure, the provider removes a previously implanted artificial hip joint or prosthesis and replaces it with a new prosthesis. He replaces both the femoral and acetabular components. He may…30$1,220$39.1K
    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…560$60$33K
    27137In this procedure, the provider removes a previously implanted artificial hip joint or prosthesis and replaces it with a new prosthesis. He replaces only the acetabular component. He may or may not…30$870$21.8K
    27486In this procedure, the provider performs revision arthroplasty of any one component of the knee joint. He may or may not use an allograft to perform this procedure. Revision arthroplasty is a…20$800$12K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…220$50$10.3K
    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…330$30$9.9K
    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.380$30$9.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274474112040$740$36.3K
    2713077020$830$27.3K
    2748711020$730$25.6K
    2713411020$920$19.4K
    992143,6304,300130$70$18.8K
    2713711030$570$13.2K
    27245294010$810$12.2K
    992133144,180100$50$9.6K
    2748611020$470$7K
    7214818319070$60$5.8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$27.9M
    Baptist Health ServicesARFamily Medicine Physician$0$9.9M
    Baptist Medcare, IncAREmergency Medicine Physician$0$8M
    Arkansas Health GroupARRural Health Clinic/Center$0$2.5M
    Paul WylieARPsychiatry Physician$0$2.4M
    All For Kids Pediatric Clinic, P.A.ARPediatrics Physician$0$2.3M
    Arkansas Health GroupARInternal Medicine Physician$0$2M
    Arkansas Health GroupARPsychiatry Physician$0$1.9M
    Arkansas Health GroupARPulmonary Disease Physician$0$1.7M
    Naveen YarlagaddaARHematology & Oncology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med South Medical IncARParenteral & Enteral Nutrition Supplies (DME)$0$21M
    Advanced Pathology Solutions, PLLCARClinical Medical Laboratory$14.1M$4.6M
    Orthotics At Home, IncARCustomized Equipment (DME)$0$10.9M
    Infinite Genomics LLCARClinical Medical Laboratory$1.9M$2M
    Scalia Otr/l, Inc.AROccupational Therapist$0$3.8M
    Alptp, PLLCARPediatric Occupational Therapist$0$2.7M
    William BowenAROrthopaedic Surgery Physician$530.8K$0
    William HefleyAROrthopaedic Surgery Physician$357.8K$0
    Brad ThomasARNeurological Surgery Physician$352.9K$0
    Samuel MooreAROrthopaedic Surgery Physician$331.5K$1.6K

    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. Arkansas Distribution
    Paul Edwards — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas