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    OpenPayerNPI Medicare & MedicaidKenneth Harper
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    Kenneth Harper — Billing Profile & Reimbursement Data

    NPI 1922062496 · Macon, GA · Surgery Physician

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    Kenneth Harper is a surgery physician provider located in Macon, Georgia. This profile covers 11 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
    OrganizationKenneth Harper
    Address556 3rd St
    CityMacon
    StateGA
    ZIP31201
    TaxonomySurgery Physician
    NPI EnumeratedApril 13, 2006

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

    Payer SourceTotal Paid
    Medicare$157.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…290$120$33.6K
    37766In this procedure, the provider excises and removes varicose veins through 20 or more very small incisions.110$280$32.1K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…30$1,190$29.6K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…40$750$28.5K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…20$890$17K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…120$70$8.7K
    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…50$60$3K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…20$160$2.4K
    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…20$70$1.1K
    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…10$80$900

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36482183030$1,260$52.7K
    36465213040$990$51.6K
    36475195030$810$37.4K
    3776611040$320$19K
    992138,59813,36080$60$9.2K
    992046,7337,26030$110$5.1K
    939701365040$60$4K
    992034,1475,35030$70$3.3K
    939758712020$120$3.2K
    939717563040$40$2.4K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ralph DeliusORPhlebology Physician$137.2K$0
    Barbara JonesGAOccupational Therapist$45K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Services Of Central Georgia, IncGAMulti-Specialty Clinic/Center$0$18.5M
    Central Georgia Emergency Group, LLCGAEmergency Medicine Physician$0$8.8M
    Middle Georgia PediatricsGAPediatric Adolescent Medicine Physician$0$4.2M
    Linda HendricksGASpecialist$3.1M$0
    Mgas Holdings, LLCGAAmbulance$2.5M$36.9K
    Marcus WeldonGAHematology & Oncology Physician$2.5M$0
    Cogent Healthcare Of Macon, LLCGAInternal Medicine Physician$0$1.8M
    Central Georgia Pediatrics, Inc.GAPediatric Adolescent Medicine Physician$0$1.6M
    Alan JusticeGAInternal Medicine Physician$1.4M$0
    Central Georgia Pet LLCGARadiation Oncology Physician$1.4M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Kenneth Harper — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia