Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kevin Pugh (NPI 1477596302)

Field	Value
Entity Type	Individual
Organization	Kevin Pugh
Address	911 Bypass Rd Bldg A
City	Pikeville
State	KY
ZIP	41501
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$260.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	120	$970	$115.5K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	60	$960	$58.3K
99214	The 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…	380	$60	$24.3K
99213	The 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…	530	$50	$23.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	670	$40	$23.4K
99204	The 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…	150	$80	$12.4K
99203	The 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…	40	$50	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Kevin Pugh — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	10	160	30	$1,090	$45.7K
27130	10	90	20	$1,090	$32.6K
99214	1,025	7,230	110	$70	$14.1K
99213	317	7,250	80	$50	$7.7K
20610	10	640	80	$40	$6.6K
99204	96	3,200	30	$100	$4.8K
99203	769	2,380	30	$70	$2.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pikeville Medical Center Inc	KY	General Acute Care Hospital	$0	$181.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Pikeville Medical Center Inc.	KY	Multi-Specialty Clinic/Center	$0	$34.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Sujata Gutti	KY	Neurology Physician	$82.9K	$3.7M
Pamela Wells	TN	Diagnostic Radiology Physician	$827K	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dungarvin Kentucky, LLC - Pikeville	KY	Developmentally Disabled Services Day Training Agency	$0	$16.3M
Appalachian Community Care LLC	KY	Professional Counselor	$0	$13.1M
Joshua Raleigh	KY	Pediatric Dentistry	$0	$7.8M
Bhg Xxv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$228K	$6.3M
Renew Residential Treatment Services	KY	Substance Abuse Rehabilitation Facility	$0	$4.9M
Stepping Stones LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.6M
Chad Street	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$3.8M
Addiction Recovery Care LLC	KY	Substance Abuse Rehabilitation Facility	$0	$3.7M
Compassion Services	KY	Rural Health Clinic/Center	$0	$3.3M
Pikeville Radiology PLLC	KY	Diagnostic Radiology Physician	$0	$3.2M

Kevin Pugh — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References