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    OpenPayerNPI Medicare & MedicaidKarl Pete
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    Karl Pete — Billing Profile & Reimbursement Data

    NPI 1518903988 · Decatur, GA · Urology Physician

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    Karl Pete is a urology physician provider located in Decatur, Georgia. This profile covers 20 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
    OrganizationKarl Pete
    Address2711 Irvin Way Ste 102
    CityDecatur
    StateGA
    ZIP30030
    TaxonomyUrology Physician
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicare$59.1K
    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.

    20 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…360$40$15.4K
    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…110$70$7.7K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$290$5.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$50$5.1K
    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…80$50$4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$2.9K
    99215The provider sees an established 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…20$110$2.5K
    55700Code deleted December 31, 2025.30$80$2.4K
    52234The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…10$180$2.3K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.7K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,00313,640120$80$17.8K
    992333,4383,88090$90$13.9K
    520009527070$140$13.8K
    992323,3475,01080$60$10.9K
    523563510020$500$10.1K
    992131,48013,36080$60$9.2K
    557005717020$280$9.1K
    52234111020$520$8.2K
    992152,0663,27030$120$7.7K
    992045,9967,26030$110$5.1K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cumberland County Hospital System IncNCInternal Medicine Physician$0$8M
    Sanjay GargNCRheumatology Physician$1.7M$0
    Neal KhuranaSDVascular & Interventional Radiology Physician$704.3K$0
    Divyang PatelNCInterventional Cardiology Physician$436.9K$0
    Bradley BroussardNCOrthopaedic Surgery Physician$354.4K$0
    Solomon GhebregziabiherNCInternal Medicine Physician$343.2K$0
    Edwin NewmanNCOrthopaedic Surgery Physician$288.4K$0
    Rajesh KhuranaNCFamily Medicine Physician$220.7K$60.4K
    James FlanaganNCOrthopaedic Surgery Physician$277.3K$0
    William SchaeferNCOrthopaedic Surgery Physician$240.3K$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dekalb Community Service BoardGACommunity/Behavioral Health Agency$0$38.8M
    Gillian JonesGAOral and Maxillofacial Surgery (Dentist)$0$8M
    Dekalb Women's SpecialistsGAObstetrics & Gynecology Physician$0$2.4M
    John ThomasGAOphthalmology Physician$1.3M$0
    Reunited Counseling & Training LLCGAPreferred Provider Organization$0$1.1M
    American Access Care Of Atlanta Asc LLCGAAmbulatory Surgical Clinic/Center$1M$0
    Dekalb County Board Of HealthGAPublic Health or Welfare Agency$0$1M
    Cheryl GardnerGAProfessional Counselor$0$639.3K
    Alliance Recovery Center, Inc.GAMethadone Clinic$325.9K$276.5K
    Eps Surgical Center, LLCGAAmbulatory Surgical Clinic/Center$414.4K$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. Georgia Distribution
    Karl Pete — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia