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    OpenPayerNPI Medicare & MedicaidRandall Berinhout
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    Randall Berinhout — Billing Profile & Reimbursement Data

    NPI 1720031503 · Stockbridge, GA · Interventional Pain Medicine Physician

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    Randall Berinhout is a interventional pain medicine physician provider located in Stockbridge, Georgia. 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
    OrganizationRandall Berinhout
    Address165 N Park Trl
    CityStockbridge
    StateGA
    ZIP30281
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$121.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…400$110$43.6K
    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…550$60$32K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.410$60$24.2K
    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…160$80$12.4K
    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…30$110$3.5K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…20$70$1.5K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).20$80$1.3K
    G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation,…20$60$1.1K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…20$40$840
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$30$450

    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
    G04801411090$110$48.1K
    8030764210210$60$28.5K
    6448333536070$200$23.7K
    992145,61913,640120$80$17.8K
    6449328832060$190$16.8K
    9921371613,36080$60$9.2K
    206101,2121,32060$50$5.8K
    992043,5177,26030$110$5.1K
    6449417821050$70$3.7K
    G300261050$60$2.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dominic SeymoreGAPhysical Medicine & Rehabilitation Physician$212.1K$0
    Latanja HuskeyGAFamily Nurse Practitioner$53.7K$0
    Sabina LazarGAPhysician Assistant$30.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apex Family Healthcare Services, LLCGACommunity/Behavioral Health Agency$0$19M
    Pacific Health Systems LLCGAHome Health Agency$0$9.9M
    Southern Crescent Pediatrics PCGAPediatrics Physician$0$9.6M
    Healthsource Agency IncGAHome Health Agency$0$5.8M
    Piedmont Hospitalist Physicians LLCGAFamily Medicine Physician$0$3.6M
    National Premier Laboratories IncGAClinical Medical Laboratory$0$3.4M
    Covenant Care Pediatrics PCGAPediatrics Physician$0$3M
    Stockbridge PediatricsGAPediatrics Physician$0$2.6M
    Surgical Center For Urology LLCGAAmbulatory Surgical Clinic/Center$805.2K$0
    Regenerative Orthopaedics Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$622K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Randall Berinhout — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia