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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAriel Sexton
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    Ariel Sexton — Billing Profile & Reimbursement Data

    NPI 1689164865 · London, KY · Foot & Ankle Surgery Podiatrist

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    Ariel Sexton is a foot & ankle surgery podiatrist provider located in London, Kentucky. This profile covers 18 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
    OrganizationAriel Sexton
    Address1105 W 5th St Ste 3
    CityLondon
    StateKY
    ZIP40741
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedMay 14, 2018

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

    Payer SourceTotal Paid
    Medicare$101.4K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.350$50$18.8K
    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…190$60$11.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…290$40$11.7K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.140$60$8.1K
    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…80$90$7.7K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.340$20$7.5K
    G0127Trimming of dystrophic nails, any number630$10$7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.80$90$6.9K
    99203The provider sees a new 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 provider…80$70$5.5K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.110$30$3.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,1197,230110$70$14.1K
    11721111160260$30$13K
    110429317080$60$8.6K
    17110208260100$60$8.4K
    11056108090$50$8.4K
    992131,6287,25080$50$7.7K
    G0127530100$10$4.8K
    11055357050$50$4.8K
    992041,6763,20030$100$4.8K
    11720139080$20$4.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heather JonesKYFoot & Ankle Surgery Podiatrist$62.7K$104.9K
    Daniel AlbertsonKYNurse Practitioner$84.1K$0
    Paul KrestikKYPodiatrist$81.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYRural Acute Care Hospital$0$83.7M
    Forever Care Dba Independent OpportunitiesKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$79M
    Brock Medical, LLCKYNurse Practitioner$0$63.5M
    Recover Together, Inc.KYAdult Mental Health Clinic/Center$0$36.6M
    Pinnacle Treatment Centers Ky-i, LLCKYSubstance Abuse Rehabilitation Facility$0$33.5M
    London Women's Care, LLCKYObstetrics & Gynecology Physician$0$16M
    Inspired LivingKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12M
    Rrj Solutions, LLCKYCommunity/Behavioral Health Agency$0$8.6M
    Cherished Care LLCKYInternal Medicine Physician$0$7M
    Fuse MedicalKYNurse Practitioner$0$7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Ariel Sexton — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky