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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoel Hayes
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    Joel Hayes — Billing Profile & Reimbursement Data

    NPI 1427486018 · Oak Ridge, TN · Physician Assistant

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    Joel Hayes is a physician assistant provider located in Oak Ridge, Tennessee. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoel Hayes
    Address801 Oak Ridge Tpke
    CityOak Ridge
    StateTN
    ZIP37830
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 17, 2013

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

    Payer SourceTotal Paid
    Medicare$11.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…50$50$2.2K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$50$2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…20$90$1.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$80$1.6K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…30$40$1.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.60$20$910
    99341The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…20$30$720
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…30$10$390
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…10$30$290
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$160

    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
    9934931034080$80$16.2K
    9934813724050$50$6K
    364152,9203,310120$10$3.2K
    993447210020$90$3.1K
    99342143040$50$2K
    99347778040$30$2K
    8781133976030$40$1.6K
    80047264040$10$1.5K
    9934172020$30$1.5K
    878044811,18050$20$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    App Of Tennessee Ed, PLLCTNEmergency Medicine Physician$0$30.3M
    Swati GreenfieldTNEmergency Medicine Physician$57K$41.4K
    Jason BegueTNEmergency Medicine Physician$60.8K$0
    Lydia VersluysTNMedical Physician Assistant$16.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ridgeview Psychiatric Hospital And Center, Inc.TNPsychiatric Hospital$0$42M
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Emory Valley CenterTNIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$11.3M
    Discover Diagnostic Laboratory, LLCTNClinical Medical Laboratory$363.5K$4.7M
    Children's ClinicTNPediatric Adolescent Medicine Physician$0$4.7M
    East Tennessee Ear, Nose & Throat Specialists, PCTNOtolaryngology Physician$0$2.6M
    East Tennessee Children's Primary Care Center, Inc.TNPediatrics Physician$0$2.4M
    The Eye Surgery Center Of Oak Ridge LLCTNClinic/Center$783K$3.3K
    Surgery Center Of Oak Ridge, LLCTNAmbulatory Surgical Clinic/Center$241K$493.4K
    Brian BurnettTNFamily Nurse Practitioner$661.1K$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
    Joel Hayes — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee