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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHarold Silver
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    Harold Silver — Billing Profile & Reimbursement Data

    NPI 1861461899 · Knoxville, TN · Gastroenterology Physician

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    Harold Silver is a gastroenterology physician provider located in Knoxville, Tennessee. This profile covers 15 Medicare and 1 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
    OrganizationHarold Silver
    Address10800 Parkside Dr Ste 201
    CityKnoxville
    StateTN
    ZIP37934
    TaxonomyGastroenterology Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicare$199.2K
    Medicaid$100

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…830$120$100.2K
    45382The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the…80$200$16.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.210$80$15.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk80$170$13K
    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…130$70$8.9K
    99205The provider sees a new 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 provider…60$140$7.8K
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.10$540$7.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$110$5.4K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$130$5.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…70$70$4.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538513932060$260$27.1K
    992145,57211,370120$80$16.6K
    4538014332040$190$15.3K
    G01053920040$250$13.1K
    432392934070$110$11.2K
    43249248030$230$8.6K
    9111091020$400$8.3K
    99215122,71040$110$8.3K
    992231,9143,13040$120$8K
    45384154030$190$7.6K

    Showing 1–10 of 15

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$10$110

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…566660190$60$53.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Knoxville Hma Physician Management, LLCTNPulmonary Disease Physician$0$8.7M
    William ThetfordFLFoot & Ankle Surgery Podiatrist$481.5K$0
    Adam ShrewsberryTNUrology Physician$476.7K$0
    Nilesh PatelTNRadiation Oncology Physician$329.6K$0
    Srinivas BoppanaTNRadiation Oncology Physician$324.8K$0
    Sean DelairTNUrology Physician$208.9K$0
    Joseph VeysGAUrology Physician$178.3K$0
    David HarrisonTNFoot & Ankle Surgery Podiatrist$149.8K$0
    Mancel WakhamTNFamily Medicine Physician$69.8K$77.7K
    Taylor BearTNNeurology Physician$135.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Tennessee Children's Hospital Association, IncTNDurable Medical Equipment & Medical Supplies$0$20.3M
    Matthew ColeTNOphthalmology Physician$3.3M$0
    Otolaryngology Head And Neck Surgery AssociatesTNSpecialist$0$2.3M
    Sara DajaniTNFamily Nurse Practitioner$1.6M$0
    Eric RedmonTNFamily Medicine Physician$217.4K$643.2K
    Endoscopy Center Of Knoxville LPTNAmbulatory Surgical Clinic/Center$488.2K$0
    Michael CollierTNInternal Medicine Physician$244.4K$0
    Nilamkumar PatelTNClinical Cardiac Electrophysiology Physician$227.9K$0
    Kimberly LoweTNFamily Nurse Practitioner$204.6K$0
    Kyler ThomasTNFoot & Ankle Surgery Podiatrist$194.9K$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. Tennessee Distribution
    Harold Silver — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Harold Silver — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee