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    OpenPayerNPI Medicare & MedicaidP Paul
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    P Paul — Billing Profile & Reimbursement Data

    NPI 1861460693 · Naperville, IL · Orthopaedic Surgery of the Spine Physician

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    P Paul is a orthopaedic surgery of the spine physician provider located in Naperville, Illinois. This profile covers 19 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
    OrganizationP Paul
    Address120 Spalding Dr Ste 400
    CityNaperville
    StateIL
    ZIP60540
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMarch 9, 2006

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

    Payer SourceTotal Paid
    Medicare$332K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…50$1,300$66.5K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…40$1,590$63.5K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…110$340$36K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…40$660$27.8K
    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…220$110$23.3K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…90$230$19.2K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…40$490$19K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$670$15.4K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$660$12.6K
    22216The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spinal column. This corrects an abnormal curvature in the…40$320$12K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2261234020$960$22.1K
    2263358020$1,080$21.6K
    992145,55518,540110$80$17.1K
    2261498040$280$15.8K
    630471314020$610$14.6K
    2221432010$510$12.2K
    2221641030$280$11.9K
    228422010020$490$9.3K
    992136,01617,39070$60$8.8K
    22840156010$470$8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Endeavor Health Medical GroupILClinical Medical Laboratory$0$7.7M
    Endeavor Health Clinical OperationsILGeneral Acute Care Hospital$0$7.1M
    Jeffrey ParnellILRetina Specialist (Ophthalmology) Physician$2.6M$27.5K
    Karen KaulILAnatomic Pathology & Clinical Pathology Physician$16.2K$1.7M
    Roop GuptaILGastroenterology Physician$237.3K$1.3M
    Kenneth ResnickILRetina Specialist (Ophthalmology) Physician$1.4M$74.2K
    Vassilios DimitropoulosINDermatology Physician$1.1M$293.6K
    Uzoma OkoliILPsychiatry Physician$129.4K$1.2M
    Arun NagarajuILDiagnostic Radiology Physician$283.9K$908.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of Naperville IllILLand Ambulance$1.1M$17.3M
    Linq Care IncILAdult Psychiatric/Mental Health Clinical Nurse Specialist$0$6.7M
    Greatland Home Health Services, Inc.ILHome Health Agency$0$5.6M
    Edward Ambulance Services LLCILLand Ambulance$1.1M$2.5M
    Naperville Cud 203ILLocal Education Agency (LEA)$0$3.5M
    Shantan ReddyILOphthalmology Physician$1.2M$768.5K
    William StephanILInterventional Cardiology Physician$1.4M$8.4K
    Naperville Surgical Centre LLCILAmbulatory Surgical Clinic/Center$1.3M$0
    Aman AliILCardiovascular Disease Physician$772.8K$32.7K
    Katrina NguyenILEmergency Medicine Physician$654.1K$112.5K

    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. Illinois Distribution
    P Paul — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois