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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDonald Rauh
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    Donald Rauh — Billing Profile & Reimbursement Data

    NPI 1548266976 · Lexington, KY · Gastroenterology Physician

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    Donald Rauh is a gastroenterology physician provider located in Lexington, Kentucky. This profile covers 49 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
    OrganizationDonald Rauh
    Address740 S Limestone Ste D201
    CityLexington
    StateKY
    ZIP40536
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 21, 2005

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

    Payer SourceTotal Paid
    Medicare$117.8K
    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.

    49 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…280$90$24.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$200$18.1K
    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…40$250$9.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…100$80$8.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.90$70$6.2K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$180$6.1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…70$80$5.6K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.20$230$4.6K
    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…60$60$3.4K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…250$10$3.2K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453857625050$250$20.2K
    992141,5187,230110$70$14.1K
    74177254260110$70$9.7K
    453804524040$140$9.4K
    G01054814030$230$9.3K
    823068112070$30$8.5K
    992134,3207,25080$50$7.7K
    432399427060$90$7.4K
    84443157200100$20$6.8K
    80053127270110$10$5.5K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kentucky Medical Services Foundation, IncKYInternal Medicine Physician$0$110.4M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Kentucky Medical Services FoundationKYNurse Practitioner$0$12.5M
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Matthew ColeTNOphthalmology Physician$3.3M$0
    North Fork Valley Community Health Board, Inc.KYFamily Medicine Physician$0$3.2M
    Kentucky Medical Services FoundationKYClinical Pathology/Laboratory Medicine Physician$0$3M
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Ryan WhittedGAOphthalmology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of KentuckyKYGeneral Acute Care Hospital$0$716.8M
    University Of KentuckyKYDentist$0$4.3M
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0
    Kentucky Medical Services FoundationKYPhysician Assistant$0$3.4M
    Kentucky Medical Services FoundationKYPediatrics Physician$0$3.3M
    Jameson DupreeKYOphthalmology Physician$1.5M$0
    Elena SamoilovaKYAnatomic Pathology & Clinical Pathology Physician$110.7K$974.6K
    Sun YiKYRadiation Oncology Physician$646.6K$0
    Frances MartinKYUrology Physician$532.8K$0
    Andrew SavoieKYPhysical Medicine & Rehabilitation Physician$470.2K$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. Kentucky Distribution
    Donald Rauh — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky