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

    NPI 1346325149 · Okatie, SC · Orthopaedic Surgery Physician

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    Karl Boatright is a orthopaedic surgery physician provider located in Okatie, South Carolina. This profile covers 21 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
    OrganizationKarl Boatright
    Address40 Okatie Center Blvd S.
    CityOkatie
    StateSC
    ZIP29909
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 27, 2006

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

    Payer SourceTotal Paid
    Medicare$349.4K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,140$70$73.9K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).330$220$70.6K
    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…470$120$55.5K
    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…470$100$44.3K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,200$23.9K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.530$30$13.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$490$11.8K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…120$90$10.4K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$570$9.2K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.560$20$8.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644831713090$190$33K
    623239613080$160$28.8K
    992141,5737,860160$80$23.2K
    22612205020$950$20K
    63047409020$530$13.3K
    992131477,690100$60$10.8K
    992152,2182,36040$120$9.3K
    22840266020$370$7.4K
    2061070481070$50$7.3K
    Q99654101,000$1$6.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffery ReubenSCSpecialist$412.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Pediatrics Of The LowcountrySCPediatrics Physician$0$7.8M
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Bluffton Okatie Surgery Center, L.L.C.SCAmbulatory Surgical Clinic/Center$1.2M$0
    David HunterSCOphthalmology Physician$549.8K$0
    Mikhail NovikovSCNephrology Physician$391K$0
    William KyleSCInternal Medicine Physician$327.3K$0
    Lauren LeeSCOrthopedic Physical Therapist$246K$0
    Jordan HickeySCPhysical Therapist$229.3K$0
    Elizabeth LiggettSCAdult Health Nurse Practitioner$213.6K$120
    Luann AquinoSCInternal Medicine Physician$194.4K$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. South Carolina Distribution
    Karl Boatright — 5 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina