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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCreighton Vaught
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    Creighton Vaught — Billing Profile & Reimbursement Data

    NPI 1609099209 · Burlington, NC · Otolaryngology Physician

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    Creighton Vaught is a otolaryngology physician provider located in Burlington, North Carolina. This profile covers 10 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
    OrganizationCreighton Vaught
    Address4030 Oaks Professional Pkwy Ste 201
    CityBurlington
    StateNC
    ZIP27215
    TaxonomyOtolaryngology Physician
    NPI EnumeratedApril 11, 2007

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

    Payer SourceTotal Paid
    Medicare$54.8K
    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.

    10 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…320$90$27.4K
    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…90$110$9.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.170$30$5.4K
    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$3.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.20$140$3K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.30$90$3K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…50$30$1.3K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing30$40$1K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.50$10$580
    92542The provider uses electronystagmography or infrared videonystagmography electrodes to measure and record the rapid movements of the eyeball when the patient changes the position of the head.10$20$250

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,35818,060110$80$15.1K
    3123115220040$120$8.3K
    992138,88716,32070$50$7.1K
    3157516726050$80$5K
    992041,0428,43030$110$4.8K
    9255722832090$20$3K
    692104641040$30$2.3K
    9256719229080$10$1.2K
    G02685211030$30$1K
    9254271020$20$600

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chapman McqueenNCOtolaryngology Physician$86.9K$0
    Paul JuengelNCOtolaryngology Physician$48.1K$0
    Paul BennettNCOtolaryngology Physician$46.9K$0
    Elizabeth UhlenhakeGAMedical Physician Assistant$41.1K$0
    Jennifer BrooksNCPhysician Assistant$39K$0
    Sarah PelletierNCAudiologist$1.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$0$264.7M
    Laboratory Corporation Of AmericaNCClinical Medical Laboratory$0$59.4M
    Alamance Regional Medical Center, Inc.NCGeneral Acute Care Hospital$0$30.8M
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$490.7K$15.6M
    Pinnacle Family Services Of North Carolina LLCNCCommunity/Behavioral Health Agency$0$12M
    Alpha Diagnostics, LLCNCClinical Medical Laboratory$11M$1M
    A.r.t. Home Care, LLCNCIn Home Supportive Care Agency$0$10M
    Rha Behavioral Health Nc LLCNCCommunity/Behavioral Health Agency$0$10M
    International Family ClinicNCPediatrics Physician$0$8.5M

    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
    Creighton Vaught — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina