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    OpenPayerNPI Medicare & MedicaidGarth King
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    Garth King — Billing Profile & Reimbursement Data

    NPI 1598775355 · Sulphur, LA · Internal Medicine Physician

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    Garth King is a internal medicine physician provider located in Sulphur, Louisiana. This profile covers 6 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
    OrganizationGarth King
    Address701 Cypress St
    CitySulphur
    StateLA
    ZIP70663
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 8, 2006

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

    Payer SourceTotal Paid
    Medicare$83.8K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…390$90$35.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…330$60$19.7K
    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…120$130$16K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…70$90$5.8K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…140$30$4.2K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…80$40$3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992324222,58090$60$13.3K
    992331562,01070$90$12.3K
    992232702,33040$130$7.7K
    9923939898060$90$6.4K
    G0179732040$30$1.3K
    G0180849020$40$1000

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cesar Ramirez AstacioLAInternal Medicine Physician$414.5K$1.7K
    Amir AusefLAInternal Medicine Physician$248.8K$0
    Thomas KazeckiLAInternal Medicine Physician$165.2K$0
    Iradat AmusaCTInternal Medicine Physician$156.3K$0
    Byron HerpichMNInternal Medicine Physician$151.4K$0
    Himani Reddy ManthenaLAInternal Medicine Physician$128.6K$0
    Mohana NeelamLAHospitalist Physician$122.1K$0
    Jeffrey DellavolpeTXCritical Care Medicine (Internal Medicine) Physician$113.6K$0
    Elvin HardyLAGastroenterology Physician$102K$0
    Christopher MattLAEmergency Medicine Physician$93.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana United Methodist Children & Family Services, IncLAPsychiatric Residential Treatment Facility$0$23.7M
    Sulphur Pediatric Clinic Medical CorporationLAPediatrics Physician$0$19M
    Calcasieu Cameron Hospital Service DistrictLAGeneral Acute Care Hospital$0$12.3M
    Calcasieu Cameron Emergency Physician Group LLCLAEmergency Medicine Physician$0$4.9M
    Brian StewartLAFamily Medicine Physician$253.3K$0
    Jose GonzalesLAFamily Medicine Physician$199.5K$0
    Kevin GuilbeauxLAPhysical Therapist$180.4K$0
    Tyler ButlerLAPhysical Therapist$177.4K$0
    Geoffrey CollinsLAOrthopaedic Surgery Physician$167.9K$0
    Preston StellyLAPhysical Therapist$156.6K$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. Louisiana Distribution
    Garth King — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana