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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Bumgarner
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    Joseph Bumgarner — Billing Profile & Reimbursement Data

    NPI 1851619456 · Raleigh, NC · Clinical Cardiac Electrophysiology Physician

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    Joseph Bumgarner is a clinical cardiac electrophysiology physician provider located in Raleigh, North Carolina. This profile covers 37 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
    OrganizationJoseph Bumgarner
    Address2800 Blue Ridge Rd Ste 400
    CityRaleigh
    StateNC
    ZIP27607
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedMay 7, 2010

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

    Payer SourceTotal Paid
    Medicare$398K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…90$700$61.4K
    93657In this procedure, the provider uses radiofrequency energy to treat an additional source of atrial fibrillation, an abnormal heart rhythm, following a radiofrequency ablation procedure.120$220$25.6K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.60$380$24.3K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…1,080$20$21.6K
    93655In this procedure, the provider tests the electrical activity in the heart after an ablation procedure, to test its effectiveness and identify any other areas responsible for an abnormal rhythm. He…90$230$20.9K
    93296The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…1,360$20$20.3K
    93298The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…1,080$20$19.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…160$120$18.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…200$90$17.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…230$70$16.9K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9365626040$700$24.4K
    93306359770210$80$19.3K
    992146,84618,060110$80$15.1K
    G20668290110$40$10.9K
    3328555020$510$10.6K
    3324933020$690$10.4K
    33208210020$380$10.2K
    992337344,23070$90$10.1K
    9365353020$620$9.8K
    992911,1982,63040$160$9.3K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Unc Rockingham Health Care, Inc.NCGeneral Acute Care Hospital$0$10.3M
    University Of North Carolina Hospitals At Chapel HillNCDurable Medical Equipment & Medical Supplies$0$7.8M
    Caldwell Memorial Hospital, IncNCPediatrics Physician$0$7.3M
    John DeansNCOphthalmology Physician$2.4M$0
    Rex Hospital, Inc.NCLand Ambulance$1M$204K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Society Of North Carolina, Inc.NCCommunity/Behavioral Health Agency$0$95.7M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$24.8M
    Nc Dept Of Health And Human ServiceNCClinical Medical Laboratory$0$16.4M
    Jeffers Mann & Artman Pediatric & Adolesent Medicine PANCPediatric Adolescent Medicine Physician$0$10.9M
    Pediatric Therapy AssociatesNCPhysical Therapist$0$10.2M
    Blue Ridge Day Surgery Center, LPNCAmbulatory Surgical Clinic/Center$1.6M$2.2M
    John ThordsenNCRetina Specialist (Ophthalmology) Physician$3.5M$0
    Rebecca ManningNCRetina Specialist (Ophthalmology) Physician$3.4M$0
    Sachin MudvariNCRetina Specialist (Ophthalmology) Physician$3.2M$0
    Daniel BennettNCRetina Specialist (Ophthalmology) Physician$3M$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
    Joseph Bumgarner — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina