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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKathryn Caulfield
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    Kathryn Caulfield — Billing Profile & Reimbursement Data

    NPI 1538146550 · Gastonia, NC · Orthopaedic Surgery Physician

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    Kathryn Caulfield is a orthopaedic surgery physician provider located in Gastonia, North Carolina. This profile covers 15 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
    OrganizationKathryn Caulfield
    Address2391 Court Dr
    CityGastonia
    StateNC
    ZIP28054
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$40.4K
    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.

    15 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…130$60$8.2K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…10$630$8.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$230$6.8K
    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…50$80$4.2K
    25310The provider transfers a tendon from one location in the forearm or wrist to another to replace a damaged or diseased tendon and restore motion of the hand.10$240$3.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$2.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…40$40$1.9K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.50$30$1.7K
    29125The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…20$50$1.1K
    73140In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.50$20$1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    647215012030$400$14.1K
    25447314020$640$13.4K
    992134,70116,32070$50$7.1K
    25310132020$360$6.4K
    992031,3915,45030$70$3.1K
    992129182,89030$30$2.1K
    2055011237030$40$1.9K
    20526668020$60$1.6K
    9920213370020$40$1.3K
    2060023625030$30$1.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry ThomasonNCOrthopaedic Surgery Physician$294.6K$0
    Tejas ParikhNCPhysical Medicine & Rehabilitation Physician$255.5K$0
    Bogdan GheorghiuSCNeurology Physician$215.8K$12.8K
    Omer SheddNCClinical Cardiac Electrophysiology Physician$185.6K$0
    Michael TamberellaNCInterventional Cardiology Physician$152.1K$0
    Dustin LettsNCInterventional Cardiology Physician$142.4K$0
    Christopher PratoNCOrthopaedic Surgery Physician$139.2K$0
    Mikell JarrattNCPulmonary Disease Physician$119.9K$0
    Laith KhouryNCNeurological Surgery Physician$117.6K$0
    Paul KochupuraNCVascular Surgery Physician$107.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Comprehab LLCNCPhysical Therapist$0$129.7M
    Hughes Behavioral And Mental Health Services Inc.NCDevelopmentally Disabled Services Day Training Agency$0$59.8M
    Gaston Memorial Hospital, IncorporatedNCGeneral Acute Care Hospital$0$49.2M
    Carolina Therapeutic Services, IncNCCommunity/Behavioral Health Agency$0$46.7M
    Partners Behavioral Health ManagementNCMental Health Clinic/Center (Including Community Mental Health Center)$0$43.7M
    Center For Emotional HealthNCAddiction Psychiatry Physician$0$40.1M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$32.9M
    Support IncorporatedNCCommunity/Behavioral Health Agency$0$19.1M
    Gastonia Physician Services, PLLCNCEmergency Medicine Physician$0$15.8M
    Gaston Adolescent Center, Inc.NCCommunity/Behavioral Health Agency$0$14.4M

    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
    Kathryn Caulfield — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina