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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRay Van Metre
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    Ray Van Metre — Billing Profile & Reimbursement Data

    NPI 1881798148 · Lexington, KY · Otolaryngology Physician

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    Ray Van Metre is a otolaryngology physician provider located in Lexington, Kentucky. This profile covers 16 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
    OrganizationRay Van Metre
    Address1720 Nicholasville Road
    CityLexington
    StateKY
    ZIP40503
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$94.3K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…530$60$32.3K
    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…240$70$17.1K
    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…110$90$10.1K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.290$30$9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$80$6.6K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.40$120$4.3K
    30901The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose.30$110$2.8K
    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…20$120$2.8K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing70$40$2.4K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.270$10$2.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516575801,090$10$18.9K
    992143,4647,230110$70$14.1K
    31231398040$130$9.3K
    992133157,25080$50$7.7K
    9511765130200$10$5.2K
    992041,9733,20030$100$4.8K
    315752511050$80$4.6K
    99203172,38030$70$2.9K
    69433112020$150$2.6K
    69210919040$30$2.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Lexington Clinic, PscKYMulti-Specialty Clinic/Center$0$8.2M
    New Lexington Clinic, PscKYClinical Medical Laboratory$1.8M$1.1M
    New Lexington Clinic, PscKYAmbulatory Surgical Clinic/Center$2.3M$12.2K
    New Lexington Clinic, PscKYAmbulatory Surgical Clinic/Center$1.6M$148.3K
    Shailendra ChopraKYBody Imaging Physician$876.7K$0
    John WestKYDiagnostic Radiology Physician$451.6K$0
    Sean MarzolfKYDermatology Physician$450.1K$0
    Timothy Averion-mahlochKYDiagnostic Radiology Physician$431.1K$0
    Elaine AlexanderKYRheumatology Physician$389.6K$0
    Robert LaveyKYRadiation Oncology Physician$384.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Ray Van Metre, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$98.1M
    Encore Adhc, LLCKYAdult Day Care Clinic/Center$0$51.9M
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$28.7M
    Lhcg Lxx, LLCKYHome Health Agency$0$27.1M
    P & C Labs, LLCKYClinical Medical Laboratory$427.3K$18M
    Healthfirst Bluegrass IncKYFederally Qualified Health Center (FQHC)$0$18.1M
    Ndt Care Services, LLCKYCommunity/Behavioral Health Agency$0$17.5M
    Lexington Urgent Care PLLCKYUrgent Care Clinic/Center$0$16.7M
    Ballard Wright, Md, PscKYInterventional Pain Medicine Physician$0$12.4M
    Big Smiles Kentucky PscKYDentist$0$12.3M

    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. Kentucky Distribution
    Ray Van Metre — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky