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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Kane
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    Peter Kane — Billing Profile & Reimbursement Data

    NPI 1447281217 · Wilmington, NC · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Peter Kane is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Wilmington, North Carolina. This profile covers 15 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
    OrganizationPeter Kane
    Address1912 Tradd Ct
    CityWilmington
    StateNC
    ZIP28401
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicare$155.4K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33535The provider diverts blood flow from damaged vessels in the heart by grafting in three arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…30$1,840$58.8K
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…20$1,620$34K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…40$570$20.4K
    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…60$170$9.7K
    33259In this procedure, at the same time as another cardiac procedure, the provider destroys extensive tissue of the atria of the heart causing an abnormal heart rhythm and then performs an extensive…10$640$7K
    33235In this procedure, the provider makes an incision to open the pacemaker pocket and disconnects and removes two electrode leads from the generator.10$480$6.7K
    33268At the same session as a primary procedure requiring sternotomy or thoracotomy, the provider performs exclusion, such as by excision, of the left atrial appendage, a small, pouchlike sac in the top…50$100$4.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…110$30$3.2K
    33517The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…20$140$2.1K
    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…20$130$2.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3353421020$1,360$24.5K
    3353511020$1,050$22K
    33361258030$560$17.4K
    3325921010$610$7.3K
    3323511010$480$6.7K
    9388010170040$80$5.1K
    992053232,29020$140$4.9K
    992046,5918,43030$110$4.8K
    3350921010$130$2.4K
    3351731010$110$1.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    Cumberland County Hospital System IncNCGeneral Acute Care Hospital$0$75.8M
    Novant Health New Hanover Regional Medical Center LLCNCGeneral Acute Care Hospital$0$57.5M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Cumberland County Hospital System IncNCAmbulance$4.3M$19.7M
    New Hanover Regional Medical CenterNCGeneral Acute Care Hospital$0$23.7M
    Unc Rockingham Health Care, Inc.NCGeneral Acute Care Hospital$0$10.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Peter Kane — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina