Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Daniels
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Paul Daniels — Billing Profile & Reimbursement Data

    NPI 1760499180 · Salt Lake City, UT · Foot & Ankle Surgery Podiatrist

    Customize your policy alerts

    Sign up for Paul Daniels — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Paul Daniels is a foot & ankle surgery podiatrist provider located in Salt Lake City, Utah. This profile covers 12 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Daniels
    Address1449 E 3300 S
    CitySalt Lake City
    StateUT
    ZIP84106
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedAugust 1, 2006

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

    Payer SourceTotal Paid
    Medicare$67.9K
    Medicaid$2.5K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.670$30$18.1K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…400$30$11.9K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.230$50$11.3K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.140$60$8.5K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…150$30$4.6K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.80$40$3.2K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.140$20$2.7K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$60$2.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…30$60$1.8K
    G0127Trimming of dystrophic nails, any number140$10$1.6K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1172116120210$30$10.2K
    110561610080$50$8K
    11720125050$20$4.6K
    1105753060$60$4.4K
    G012732030$10$4.4K
    99304123030$50$4K
    11055289050$50$3.7K
    99307114060$30$3.5K
    9934252020$50$2.3K
    9934714030$30$2K

    Showing 1–10 of 12

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.340$1$1.3K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.70$10$850
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.60$10$380
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.100$1$100
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.2960340$10$13.1K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.1020170$20$6.8K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…2830120$10$4.1K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.82070$10$3.4K
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.51050$1$210

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Lincoln Hospital DistrictWYRural Health Clinic/Center$0$1.3M
    Cory MaughanUTMOHS-Micrographic Surgery Physician$303.1K$0
    South Lincoln Hospital DistrictWYFamily Medicine Physician$0$148.9K
    South Lincoln Hospital DistrictWYRural Health Clinic/Center$0$141.3K
    Christopher HalingWYDiagnostic Radiology Physician$70.9K$0
    Pritam NeupaneCAPulmonary Disease Physician$67.3K$0
    Catherine DepalmaWYPediatrics Physician$0$67K
    Mark ConklinCOOrthopaedic Surgery Physician$63.7K$0
    Brendan FitzsimmonsWYFamily Medicine Physician$43.3K$0
    Brenda HatchIDCertified Registered Nurse Anesthetist$36.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seventh Street Treatment CenterUTSubstance Abuse Rehabilitation Facility$0$7.4M
    Touchstone Therapy Center Inc.UTCommunity/Behavioral Health Agency$0$4.7M
    One- Eighty Out LLCUTCommunity/Behavioral Health Agency$0$4.4M
    Utah Cancer Specialists PCUTMedical Oncology Physician$0$4.2M
    Apex Behavior Consulting LLCUTBehavior Analyst$0$2.5M
    Ryan LeybasUTClinical Social Worker$28.7K$1.2M
    Brian RandleUTDentist$0$1.1M
    Omega Interventional Pain PLLCUTPain Medicine Physician$0$667.6K
    Access Private Duty, LLCUTIn Home Supportive Care Agency$0$533K
    Utnv East Millcreek, LLCUTAssisted Living Facility$0$528.9K

    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. Utah Distribution
    Paul Daniels — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Paul Daniels — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah