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    OpenPayerNPI Medicare & MedicaidThomas Von Unrug
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    Thomas Von Unrug — Billing Profile & Reimbursement Data

    NPI 1295779957 · Lexington, KY · Internal Medicine Physician

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    Thomas Von Unrug is a internal medicine physician provider located in Lexington, Kentucky. This profile covers 22 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Von Unrug
    Address1401 Harrodsburg Road B 299
    CityLexington
    StateKY
    ZIP40504
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 15, 2006

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

    Payer SourceTotal Paid
    Medicare$210K
    Medicaid$33.4K

    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
    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…1,280$80$103.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…400$90$35.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$120$13.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…70$160$11.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$130$10.5K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…60$90$5.4K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$200$5.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.590$10$4.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…350$10$3.5K
    G0008Administration of influenza virus vaccine80$30$2.4K

    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
    992331771,80080$90$14.1K
    99214427,230110$70$14.1K
    992913031,03050$160$12.3K
    G04394201,57060$110$9.3K
    992235251,94040$130$8.6K
    992394661,01050$80$7.1K
    994977833040$60$4.9K
    994964920020$170$3.9K
    9949532938020$130$2.9K
    G00085231,91050$30$2K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,210$30$31.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…100$10$780
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…20$30$560
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$1$40
    0513FThe provider documents a plan of care to manage elevated blood pressure in a patient with chronic kidney disease (CKD).10$0$0
    1159FNo Summary found for this code130$0$0
    1160FNo Summary found for this code140$0$0
    3078FNo Summary found for this code10$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications130$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9442,460580$40$245K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…648870480$20$61.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.722730710$1$57.8K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…215230360$20$50.3K
    0513FThe provider documents a plan of care to manage elevated blood pressure in a patient with chronic kidney disease (CKD).91040$1$260
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications182280340$1$60
    3078FNo Summary found for this code301310470$1$10
    1159FNo Summary found for this code187250710$1$1
    1160FNo Summary found for this code182250690$1$1

    Nearby Providers

    Other providers in the same ZIP code as Thomas Von Unrug, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYGeneral Acute Care Hospital$0$85.5M
    Kentuckyone Health Medical Group, Inc.KYFamily Medicine Physician$0$38.9M
    Maxim Healthcare Services Inc.KYHome Health Agency$0$20.5M
    Hospice Of The Bluegrass, IncKYCommunity Based Hospice Care Agency$0$17.9M
    Columbus Medical Services, LLCKYCase Management Agency$0$12.1M
    Hospice Of The Bluegrass, IncKYCommunity Based Hospice Care Agency$0$9.3M
    Horn And Associates In Rehabilitation PLLCKYRehabilitation Practitioner$0$8.3M
    New Lexington Clinic, PscKYMulti-Specialty Clinic/Center$0$8.2M
    Serenity KeepersKYAdult Mental Health Clinic/Center$0$7.9M
    Lexington Surgery Center LtdKYAmbulatory Surgical Clinic/Center$1.3M$5.4M

    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
    Thomas Von Unrug — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Thomas Von Unrug — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky