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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Saum
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    Kenneth Saum — Billing Profile & Reimbursement Data

    NPI 1255312609 · Lynchburg, VA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Kenneth Saum is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Lynchburg, Virginia. This profile covers 11 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
    OrganizationKenneth Saum
    Address2410 Atherholt Rd
    CityLynchburg
    StateVA
    ZIP24501
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedNovember 10, 2005

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

    Payer SourceTotal Paid
    Medicare$114.6K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft20$1,220$29.3K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…40$580$21.9K
    33266In this procedure, the provider uses an endoscope to perform a procedure, known as a maze procedure, to destroy tissue of the atria of the heart and to reconstruct the left and right atrium, or the…10$1,410$19.7K
    32480The provider removes a single lobe of the lung.10$1,140$13.6K
    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…130$100$13K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$100$6K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…20$310$5.3K
    38746In this add on procedure, the provider incises the chest and removes thoracic and mediastinal lymph nodes. He commonly removes the lymph nodes for cancer of the breast, lung, or chest wall. The…10$160$2.1K
    76998The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.40$50$1.8K
    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$1.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33361347040$580$25.1K
    33533348020$950$22.7K
    9921411,60312,890140$80$21K
    3326611010$1,410$19.7K
    3248011010$1,130$13.6K
    992044926,85040$110$5.9K
    992226233,12030$100$4.4K
    33518135010$240$3.5K
    3874611010$160$2.1K
    7699852020$50$1.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centra Medical Group, LLCVAFamily Medicine Physician$0$60.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Robert BrennanVAInfectious Disease Physician$15.9M$0
    Jong AnVAHematology & Oncology Physician$2.4M$0
    Salman MuftiVADiagnostic Radiology Physician$1.2M$0
    Reema MunirCADiagnostic Radiology Physician$949.4K$0
    Andrew MoranNCDiagnostic Radiology Physician$751.8K$0
    James DannerVAFamily Medicine Physician$526.1K$1.9K
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Kenneth HaftVAPulmonary Disease Physician$498.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Family Services Of Virginia, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$194.3M
    Horizon Behavioral HealthVACommunity/Behavioral Health Agency$0$138.1M
    Brightview LLCVASubstance Use Disorder Rehabilitation Clinic/Center$0$32M
    Centra Health IncVAGeneral Acute Care Hospital$0$18.5M
    Virginia Treatment Center, LLCVAMethadone Clinic$116.5K$15.9M
    Cabaniss Consultants LLCVADevelopmentally Disabled Services Day Training Agency$0$10.9M
    Sense Of Security Care, Inc.VAHome Health Aide$0$9.2M
    Surgery Center Of Lynchburg LLCVAAmbulatory Surgical Clinic/Center$4M$799.8K
    Landon CollingVAOphthalmology Physician$2.8M$190
    Pathology Consultants Of Central Va, IncVAClinical Medical Laboratory$696K$1.6M

    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
    Kenneth Saum — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia