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    OpenPayerNPI Medicare & MedicaidRoger Porter
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    Roger Porter — Billing Profile & Reimbursement Data

    NPI 1265435093 · Alexandria, KY · Podiatrist

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    Roger Porter is a podiatrist provider located in Alexandria, Kentucky. 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationRoger Porter
    Address7579 Alexandria Pike
    CityAlexandria
    StateKY
    ZIP41001
    TaxonomyPodiatrist
    NPI EnumeratedMay 24, 2005

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

    Payer SourceTotal Paid
    Medicare$68.6K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.330$60$19K
    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…270$60$16.6K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.380$30$12.3K
    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…70$80$5.6K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.120$50$5.3K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.50$70$3.5K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.140$20$2.9K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.20$80$1.9K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.20$40$900
    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,…20$40$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
    1172167160260$30$13K
    11056118090$50$8.4K
    992131,0577,25080$50$7.7K
    11055117050$50$4.8K
    11720299080$20$4.6K
    1105771050$60$3.9K
    992034072,38030$70$2.9K
    1173094020$70$1.9K
    992121,0061,52030$30$1.9K
    205508213030$40$1.6K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert NeltnerKYPhysical Therapist$43.6K$0
    Thomas SharpKYFamily Medicine Physician$41.6K$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. Kentucky Distribution
    Roger Porter — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky