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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Bloom
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    Kenneth Bloom — Billing Profile & Reimbursement Data

    NPI 1811983372 · Mooresville, NC · Foot & Ankle Surgery Podiatrist

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    Kenneth Bloom is a foot & ankle surgery podiatrist provider located in Mooresville, North Carolina. This profile covers 11 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
    OrganizationKenneth Bloom
    Address137 Professional Park Dr
    CityMooresville
    StateNC
    ZIP28117
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedSeptember 21, 2005

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

    Payer SourceTotal Paid
    Medicare$51.5K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…250$70$17.9K
    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…270$60$17.1K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.60$110$6.6K
    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 cm2.40$100$3.6K
    G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e.…40$60$2.2K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.130$20$2.1K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.40$20$840
    G0246Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a…30$30$780
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.10$30$330
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg30$1$30

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1104227133090$60$9K
    11720156160190$20$7.7K
    992131,97316,32070$50$7.1K
    99203395,45030$70$3.1K
    11750814030$100$3.1K
    G024772030$50$1.9K
    736304791,11040$20$1.2K
    736201918030$20$840
    G024672030$30$810
    J33011,7301,820190$1$370

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Piedmont Healthcare, P.A.NCInternal Medicine Physician$0$34.1M
    Piedmont Providers LLCGAInternal Medicine Physician$0$1.6M
    Dijana ChristiansonNCInternal Medicine Physician$1.5M$0
    Sean FaheyNCRheumatology Physician$1.2M$0
    Craig DuboisNCNeurology Physician$821.1K$0
    Frank LichtenbergerNCAllergy & Immunology Physician$653.5K$0
    Piedmont Healthcare, PANCEndoscopy Clinic/Center$353K$162.4K
    Duncan MccallNCRheumatology Physician$478.2K$0
    Matthew CarraroNCNeurology Physician$462.7K$0
    Roderick EliasNCNeurology Physician$334.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Highlights Healthcare, LLCNCCommunity/Behavioral Health Agency$0$51.1M
    Lolly Therapeutics, LLCNCOccupational Therapist$0$32.2M
    Dudley's Home Health, Inc.NCHome Health Agency$0$10.7M
    Integrative Wellness Solutions, PLLCNCPsychologist$0$8.5M
    Tushar PatelNCSpecialist$543.1K$0
    Bishr Al DabaghNCMOHS-Micrographic Surgery Physician$540.9K$0
    John KonefalNCRadiation Oncology Physician$509.5K$0
    David KonstandtNCUrology Physician$338.5K$0
    Langtree Endoscopy Center, LLCNCAmbulatory Surgical Clinic/Center$303.8K$0
    Kevin KuckoNCPhysical Therapist$275.8K$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
    Kenneth Bloom — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina