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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKurt Vernon
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    Kurt Vernon — Billing Profile & Reimbursement Data

    NPI 1871559930 · Dunn, NC · Gastroenterology Physician

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    Kurt Vernon is a gastroenterology physician provider located in Dunn, North Carolina. This profile covers 27 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
    OrganizationKurt Vernon
    Address904 W Broad St Ste D
    CityDunn
    StateNC
    ZIP28334
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$230.3K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$190$37.6K
    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…320$90$28.8K
    99204The provider sees a new 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 provider…200$110$21K
    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…340$60$20.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…750$30$19.5K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…280$60$17.8K
    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…170$70$11.7K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…180$50$9.5K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…100$90$9.3K
    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$570$7.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305141440470$40$50.4K
    453857756070$290$33.4K
    4325221040$630$25.3K
    992143,34018,060110$80$15.1K
    453804652040$180$13.7K
    G010530034030$270$12.4K
    432395356060$120$11K
    432497517030$270$9.7K
    4325194020$350$9.3K
    432481110030$180$9.2K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gastroenterology East, P.A.NCAmbulatory Surgical Clinic/Center$950.2K$993.9K
    Hong LiNCAnatomic Pathology & Clinical Pathology Physician$493.2K$0
    Kurt G Vernon Md PANCEndoscopy Clinic/Center$301.7K$145.5K
    Geoffrey YouNCGastroenterology Physician$160.8K$0
    Alpesh PatelAZGastroenterology Physician$128.8K$19.3K
    Romualdo TalentoNCAnatomic Pathology & Clinical Pathology Physician$141.5K$0
    Donald TsynmanNCGastroenterology Physician$111.9K$0
    Shane HendonKYGastroenterology Physician$71.5K$0
    George SmithNCAnatomic Pathology & Clinical Pathology Physician$51.8K$0
    Michael RothNCAnatomic Pathology & Clinical Pathology Physician$47.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abc Pediatrics Of Dunn, PANCSpecialist$0$28.1M
    Harnett Health System, Inc.NCGeneral Acute Care Hospital$0$23.3M
    The Carolinas Emergency Group, PLLCNCEmergency Medicine Physician$0$20.5M
    Carolina Therapy Services IncNCSpeech-Language Pathologist$0$17.8M
    Affinity Care Nc IncNCIn Home Supportive Care Agency$0$7.5M
    Med-trans CorporationNCAir Ambulance$426K$368.1K
    Radhakrishnan RamarajNCCardiovascular Disease Physician$308.8K$5.2K
    Josette MariaNCGeriatric Medicine (Internal Medicine) Physician$195.8K$0
    Ahmed SaidNCOptometrist$129.9K$0
    Elizabeth DaughtryNCFoot & Ankle Surgery Podiatrist$123.1K$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
    Kurt Vernon — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina