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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Caughron
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    Justin Caughron — Billing Profile & Reimbursement Data

    NPI 1477711919 · Lawrenceville, GA · Vascular & Interventional Radiology Physician

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    Justin Caughron is a vascular & interventional radiology physician provider located in Lawrenceville, Georgia. This profile covers 77 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
    OrganizationJustin Caughron
    Address1000 Medical Center Blvd
    CityLawrenceville
    StateGA
    ZIP30046
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedMay 31, 2008

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

    Payer SourceTotal Paid
    Medicare$244.4K
    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.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.840$40$32.7K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.410$70$28.3K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…310$80$23.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.350$70$22.8K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.270$50$14.1K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…150$70$9.8K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.190$40$8.1K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…250$30$6.9K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…240$30$6.5K
    75635The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may…70$90$6K

    Showing 1–10 of 77

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 77 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    77 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7417718650100$70$9.7K
    70450358590170$30$7.3K
    939254226020$120$6.2K
    741761065060$70$5.8K
    9388012169040$80$5.7K
    712754954060$70$4.8K
    74178128030$120$4.3K
    71250264070$40$4.1K
    939702365040$60$4K
    939239914030$70$3.7K

    Showing 1–10 of 77

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adventist Health System-sunbelt, IncFLGeneral Acute Care Hospital$0$173.7M
    Smi Imaging, LLCAZDiagnostic Radiology Physician$0$90.4M
    Florida Hospital Medical Group IncFLFamily Medicine Physician$0$71.2M
    Adventist Health System Sunbelt, Inc.FLUrgent Care Clinic/Center$0$67.5M
    Adventist Health System-sunbelt, IncFLClinical Medical Laboratory$0$28.2M
    Florida Hospital Physician Group IncFLFamily Medicine Physician$0$21.4M
    Memorial Health Systems IncFLRehabilitation Hospital Unit$0$17.6M
    Memorial Hospital Flagler IncFLGeneral Acute Care Hospital$0$13.9M
    Florida Hospital Medical Group IncFLDiagnostic Radiology Physician$0$13.1M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gwinnett Physician Group, LLCGAInternal Medicine Physician$0$8.3M
    Ivy League PediatricsGAPediatrics Physician$0$4.8M
    Amazing Care Agency IncGAHome Health Agency$0$3.7M
    Gwinnett County Board Of CommissionersGAAmbulance$3.4M$2K
    Psychiatric Services Of AmericaGAPsychiatry Physician$0$2.5M
    View Point HealthGAMental Health Clinic/Center (Including Community Mental Health Center)$0$1.8M
    Uhs Of Summitridge, LLCGAPsychiatric Hospital$0$1.8M
    Lawrenceville Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$1.5M$0
    Georgia Interventional Pain LLCGAAmbulatory Surgical Clinic/Center$1.4M$0
    Gwinnett Psychiatry, P.C.GAAdolescent and Children Mental Health Clinic/Center$0$1.3M

    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.

    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. Georgia Distribution
    Justin Caughron — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia