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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Polk
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    William Polk — Billing Profile & Reimbursement Data

    NPI 1356349963 · Nashville, TN · Surgery Physician

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    William Polk is a surgery physician provider located in Nashville, Tennessee. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Polk
    Address410 42nd Ave N Ste 400
    CityNashville
    StateTN
    ZIP37209
    TaxonomySurgery Physician
    NPI EnumeratedJuly 8, 2005

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

    Payer SourceTotal Paid
    Medicare$64.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…30$670$16.9K
    43117The provider performs removal from the two thirds of the esophagus closest to the stomach. He may also remove part of the upper stomach. In the chest, he connects the esophagus to the remaining…10$1,460$16K
    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…150$70$9.5K
    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…60$120$7.3K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…30$210$6.4K
    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…60$80$4.5K
    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…40$90$3.3K
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…30$10$390

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,16111,370120$80$16.6K
    4311711010$1,450$16K
    2255882020$580$12.7K
    992133,42611,03080$50$8K
    3656198020$370$7.7K
    992041,5035,49030$100$5.3K
    992039563,75030$70$3.1K
    770016113030$20$680

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John KendrickTNVascular Surgery Physician$597.2K$0
    Patrick YuTNVascular Surgery Physician$346.8K$0
    Timothy BushTNFoot & Ankle Surgery Podiatrist$244.7K$0
    Billy KimTNVascular Surgery Physician$198.6K$0
    Robert GarzaTNPlastic and Reconstructive Surgery Physician$179.5K$0
    Jimbob FaulkTNVascular Surgery Physician$136.8K$0
    Allen LeeTNVascular Surgery Physician$113.8K$0
    Roger BonauTNVascular Surgery Physician$101.6K$0
    Tod BushmanTNFoot & Ankle Surgery Podiatrist$100K$0
    Adam RichterTNVascular Surgery Physician$81.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oral Facial Surgery Center, LLCTNAmbulatory Surgical Clinic/Center$202.4K$5.8M
    Tnmo Healthcare, LLCTNCommunity Based Hospice Care Agency$0$5.7M
    Tennessee Orthopaedic Alliance PATNOrthopaedic Surgery Physician$0$5.6M
    Nephrology Associates, PCTNNephrology Physician$0$3.4M
    Urology Surgery Center LPTNAmbulatory Surgical Clinic/Center$2.9M$0
    Gautam JayramTNUrology Physician$340.5K$0
    Marcy AbelTNUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$311.6K$0
    Edward MackeyTNOrthopaedic Surgery Physician$291.4K$0
    Philip KarposTNOrthopaedic Surgery Physician$251.4K$0
    Jane SiegelTNOrthopaedic Hand Surgery Physician$240.5K$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. Tennessee Distribution
    William Polk — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee