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    OpenPayerNPI Medicare & MedicaidKevin Speer
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    Kevin Speer — Billing Profile & Reimbursement Data

    NPI 1528014081 · Raleigh, NC · Orthopaedic Surgery Physician

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    Kevin Speer is a orthopaedic surgery physician provider located in Raleigh, North Carolina. This profile covers 13 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
    OrganizationKevin Speer
    Address3404 Wake Forest Rd
    CityRaleigh
    StateNC
    ZIP27609
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$216.3K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$90$53.8K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…30$1,080$33.6K
    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…210$110$23.1K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…30$680$21.8K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…80$260$21.1K
    23412In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…30$610$20K
    20610In 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…250$50$11.3K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…40$270$10.8K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…80$130$9.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.270$20$5.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2982885020$980$24.6K
    234722913020$750$17.9K
    992141,03618,060110$80$15.1K
    2341212020$620$9.9K
    2343023010$530$8.9K
    2982426020$310$7.5K
    2982356020$230$5.5K
    206101801,62060$50$5.1K
    99204978,43030$110$4.8K
    29826311020$90$2.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$44.4M
    Duke Health Integrated Practice, Inc.NCGeneral Practice Physician$0$36.3M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Affiliated Physicians, Inc.NCEmergency Medicine Physician$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System IncNCGeneral Acute Care Hospital$0$7.9M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of North CarolinaNCCommunity/Behavioral Health Agency$0$77.5M
    Voca Corp Of North CarolinaNCCommunity/Behavioral Health Agency$0$62.8M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$58.3M
    Fastmed Urgent Care PCNCUrgent Care Clinic/Center$0$40.4M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$29.3M
    Carter Clinic, P ANCPsychiatry Physician$0$19.4M
    Professional Healthcare, LLCNCNursing Care Agency$0$17.6M
    Healing Interventions, IncNCCommunity/Behavioral Health Agency$0$15.3M
    Kids First Pediatrics Of Raleigh, PLLCNCPediatrics Physician$0$12M
    Raleigh Best Medical Supply And Home Health Care Services, LLCNCHome Health Agency$0$11.9M

    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
    Kevin Speer — 6 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina