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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Pope
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    Robert Pope — Billing Profile & Reimbursement Data

    NPI 1457354862 · Sylva, NC · Physician Assistant

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    Robert Pope is a physician assistant provider located in Sylva, North Carolina. 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
    OrganizationRobert Pope
    Address38 The Village Overlook
    CitySylva
    StateNC
    ZIP28779
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 31, 2005

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

    Payer SourceTotal Paid
    Medicare$61.6K
    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
    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…310$50$15.9K
    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…230$60$13.8K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.1,000$10$7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.90$80$6.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.50$110$5.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…120$30$3.8K
    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…30$70$2.4K
    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$90$2K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.10$150$1.8K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.650$1$1.3K

    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
    9921414,81218,060110$80$15.1K
    312318420040$120$8.3K
    992131,64216,32070$50$7.1K
    315754826050$80$5K
    992045,4258,43030$110$4.8K
    95004891101,200$1$4.7K
    9511727190270$10$3.5K
    99203575,45030$70$3.1K
    3123891020$180$3K
    6921029741040$30$2.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cherokee Indian Hospital AuthorityNCGeneral Acute Care Hospital$0$86.6M
    Dlp Western Carolina Physician Practices LLCNCInternal Medicine Physician$0$14M
    John BuentingNCOtolaryngology Physician$325.9K$0
    Shawn KosnikNCOtolaryngology Physician$316.8K$0
    Samuel FlemingNCNephrology Physician$168.8K$0
    Sarah CiccottoNCCardiovascular Disease Physician$160.7K$0
    Angela ConnaughtonNCPulmonary Disease Physician$151.5K$0
    James SagarTNDiagnostic Radiology Physician$116.5K$0
    Jaron DenskyTNOtolaryngology Physician$106.4K$0
    Frank BonomoNCDiagnostic Radiology Physician$101.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smoky Mountain Center For Mh/dd/sasNCHealth Maintenance Organization$0$51.5M
    Meridian Behavioral Health Services, Inc.NCCommunity/Behavioral Health Agency$0$9.7M
    Dlp Harris Regional Hospital LLCNCGeneral Acute Care Hospital$0$8.3M
    Skyland House, LLCNCAdult Care Home Facility$0$7.2M
    Ofelia BaltaNCInternal Medicine Physician$270.2K$0
    Roy GallingerNCFamily Medicine Physician$259K$0
    Clifford MaultNCInternal Medicine Physician$97.8K$116.3K
    Leslie NorrisNCFamily Nurse Practitioner$190.2K$0
    Jarred TanksleyNCTherapeutic Radiology Physician$179.9K$0
    Maranda SolesbyNCPhysical Therapist$110.4K$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. North Carolina Distribution
    Robert Pope — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina