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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Burroughs
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    Paul Burroughs — Billing Profile & Reimbursement Data

    NPI 1588627582 · Raleigh, NC · Orthopaedic Surgery Physician

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    Paul Burroughs is a orthopaedic surgery physician provider located in Raleigh, North Carolina. This profile covers 21 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
    OrganizationPaul Burroughs
    Address3801 Wake Forest Rd Ste 220
    CityRaleigh
    StateNC
    ZIP27609
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$166.1K
    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.

    21 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…360$90$31.6K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…380$80$30.9K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$880$30K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose140$100$14K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…10$860$10.4K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.260$30$8.9K
    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…70$110$8K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose80$100$7.4K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.50$100$4.9K
    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$70$4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744720646030$1,000$41.8K
    27446132010$2,290$36.6K
    992142,78118,060110$80$15.1K
    J7323367070$100$10.3K
    99490509750120$40$10.3K
    J732453050$100$8.1K
    992138,61716,32070$50$7.1K
    20611420050$70$6.4K
    9943923450090$30$6K
    206101,1641,62060$50$5.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cary IdlerNCOrthopaedic Surgery of the Spine Physician$233K$0
    James CrowtherNCOrthopaedic Surgery Physician$117.6K$0
    Gary FleischerNHOrthopaedic Surgery of the Spine Physician$84.5K$0
    John NelsonNCOrthopaedic Surgery Physician$56.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Paul Burroughs, 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
    Paul Burroughs — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina