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    OpenPayerNPI Medicare & MedicaidMathew Raynor
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    Mathew Raynor — Billing Profile & Reimbursement Data

    NPI 1427238153 · Chapel Hill, NC · Urology Physician

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    Mathew Raynor is a urology physician provider located in Chapel Hill, North Carolina. This profile covers 10 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
    OrganizationMathew Raynor
    Address101 Manning Dr
    CityChapel Hill
    StateNC
    ZIP27514
    TaxonomyUrology Physician
    NPI EnumeratedNovember 9, 2007

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

    Payer SourceTotal Paid
    Medicare$41.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    50543The provider uses a surgical laparoscopic technique to remove part of a kidney.10$1,120$12.3K
    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…110$100$10.8K
    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…100$70$6.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…60$60$3.1K
    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…60$50$3.1K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$100$1.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…10$130$1.6K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…10$110$1.5K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…20$20$400
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,57118,060110$80$15.1K
    5054331010$1,130$14.7K
    5200016928070$150$12.1K
    992138,46416,32070$50$7.1K
    992051,9412,29020$140$4.9K
    992046468,43030$110$4.8K
    52310568020$210$4K
    523329012020$140$3K
    7442010016030$20$740
    8100261294030$1$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jan Niklas UlrichNCOphthalmology Physician$730.3K$0
    Beatrice BrewingtonNCRetina Specialist (Ophthalmology) Physician$139.4K$0
    Gregory SummervilleNCOrthopaedic Surgery Physician$74.4K$0
    Jillian SylvesterNCOrthopaedic Surgery Physician$60.4K$0
    Lauren PorrasTNSports Medicine (Internal Medicine) Physician$53.5K$0
    Matthew DedmonNCOtolaryngology Physician$49.2K$0
    Gopal NarangNCUrology Physician$46.5K$0
    Jason MaslowVAPhysician Assistant$39.1K$0
    Bikramjit GrewalNCOrthopaedic Surgery Physician$37.1K$0
    Marc WhitmanNCSurgery Physician$31.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Standards-based Solutions Behavioral Health ConsultingNCMental Health Counselor$0$8.3M
    Ari IsaacsonNCVascular & Interventional Radiology Physician$2.8M$0
    James BatesNCRadiation Oncology Physician$656.1K$0
    William DelgadoNCMOHS-Micrographic Surgery Physician$515.5K$0
    Bradley MerrittNCMOHS-Micrographic Surgery Physician$354.7K$0
    Stephen GoldnerNCInternal Medicine Physician$254.7K$0
    Jonathan PackNCDiagnostic Radiology Physician$235.2K$0
    John WoodNCOphthalmology Physician$231.7K$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. North Carolina Distribution
    Mathew Raynor — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina