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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Pugar
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    Kenneth Pugar — Billing Profile & Reimbursement Data

    NPI 1528060399 · Centerville, OH · Neurology Physician

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    Kenneth Pugar is a neurology physician provider located in Centerville, Ohio. This profile covers 11 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
    OrganizationKenneth Pugar
    Address1975 Miamisburg Centerville Rd
    CityCenterville
    StateOH
    ZIP45459
    TaxonomyNeurology Physician
    NPI EnumeratedAugust 11, 2005

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

    Payer SourceTotal Paid
    Medicare$68.4K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new 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 provider…100$150$15.9K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…40$270$11.4K
    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…90$120$10.2K
    95957In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.40$210$8.8K
    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…90$80$6.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$140$4.7K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…60$70$4.3K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…20$110$2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…10$130$1.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$90$1.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,67320,010100$70$11.7K
    992335,2705,57070$90$11.2K
    992232,9695,59040$130$7.6K
    9588617926090$60$6.9K
    958166815040$100$6.1K
    992157984,95030$110$5.9K
    9595711020$210$5.2K
    9591111214020$140$4.9K
    99205352,13020$140$4.2K
    959106411020$110$3.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dayton Osteopathic HospitalOHGeneral Acute Care Hospital$0$111.3M
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$20M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    Kelleen GraverOHNurse Practitioner$2.1M$0
    Scott PfahlerOHOphthalmology Physician$1.6M$16.4K
    Jeffrey GrassOHRadiation Oncology Physician$1.2M$0
    Joseph ShaughnessyOHRadiation Oncology Physician$611.6K$0
    Bal SrivastavaOHCardiovascular Disease Physician$384.6K$0
    Timothy SchoonoverOHNeurology Physician$356.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri Star Scientific Inc.OHPACE Provider Organization$0$17.6M
    Crn Healthcare, Inc.OHCommunity/Behavioral Health Agency$0$15M
    Compassus Op Of Ohio LLCOHCommunity Based Hospice Care Agency$0$8.2M
    Six Roses Home Health CareOHHome Health Clinical Nurse Specialist$0$7.5M
    Dermatopathology Laboratory Of Central StatesOHClinical Medical Laboratory$3.1M$1.8M
    Surgery Center At Corporate Way LLCOHAmbulatory Surgical Clinic/Center$1.7M$326.8K
    Digestive Endoscopy Center LLCOHAmbulatory Surgical Clinic/Center$623.5K$872.5K
    David KeyOHUrology Physician$520.8K$0
    Amol SoinOHInterventional Pain Medicine Physician$352.6K$0
    Mark MonsourOHUrology Physician$298.1K$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. Ohio Distribution
    Kenneth Pugar — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio