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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKent Lucas
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    Kent Lucas — Billing Profile & Reimbursement Data

    NPI 1619923836 · New Bern, NC · Internal Medicine Physician

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    Kent Lucas is a internal medicine physician provider located in New Bern, North Carolina. This profile covers 68 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
    OrganizationKent Lucas
    Address702 Newman Rd
    CityNew Bern
    StateNC
    ZIP28562
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$475.5K
    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.

    68 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…1,360$80$105K
    J0897Injection, denosumab, 1 mg3,540$20$63.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit460$120$56.6K
    Q5121Injection, infliximab-axxq, biosimilar, (avsola), 10 mg1,160$20$26.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…300$70$21.3K
    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…240$60$13.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.300$40$12.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…710$20$11.3K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.90$130$11K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…230$50$10.4K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971244302,100$20$63.9K
    80307302380100$60$35.4K
    Q51213101,160$20$32.2K
    8230629587050$30$20.2K
    8440311913030$30$20.1K
    84443321,09090$20$18K
    80061411,180110$10$17.4K
    80053441,400100$10$16.5K
    871869611030$10$16K
    9641313028090$90$15.8K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinaeast Medical CenterNCGeneral Acute Care Hospital$0$22.9M
    Christopher FlyeNCDiagnostic Radiology Physician$1.7M$0
    Cchc Endoscopy Center IncNCEndoscopy Clinic/Center$988.7K$57.5K
    Matthew LevineNCCardiovascular Disease Physician$460.9K$0
    Matthew GroveNCInterventional Cardiology Physician$451K$0
    Michael CascielloNCCardiovascular Disease Physician$449.4K$0
    Warren MurrayNCInternal Medicine Physician$417.1K$0
    Brittany GradyNCFamily Medicine Physician$391K$0
    Kevin MacdonaldNCFamily Medicine Physician$384.2K$0
    Patricia GuilfordNCFamily Medicine Physician$377.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$28.2M
    Coastal Childrens ClinicNCPediatrics Physician$0$20.4M
    Home Life Care IncNCIn Home Supportive Care Agency$0$14M
    Robert B. Harrison Dmd Msd PLLCNCMulti-Specialty Clinic/Center$0$7.5M
    Robert B. Miller, Iv, Dds, PLLCNCDentist$0$7.3M
    Christopher MizelleNCDermatology Physician$924.7K$0
    Nathan SaucierNCNephrology Physician$724.1K$0
    Jay SingletonNCOphthalmology Physician$704.5K$0
    Todd NelsonNCDermatology Physician$494K$0
    Michele ScottNCGlaucoma Specialist (Ophthalmology) Physician$410.2K$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. North Carolina Distribution
    Kent Lucas — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina