Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRandolph Knox
    Ask Trek AI about this page

    Randolph Knox — Billing Profile & Reimbursement Data

    NPI 1932110467 · Apo, AE · Physician Assistant

    Customize your policy alerts

    Sign up for Randolph Knox — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Randolph Knox is a physician assistant provider located in Apo, Armed Forces Europe. This profile covers 10 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. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRandolph Knox
    AddressUsahc Bamberg
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09139
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicare$28.1K
    Medicaid$0

    Key Findings

    RANDOLPH KNOX is a Physician Assistant enumerated on 2006-08-10 (~20 years ago) with lifetime Medicare revenue of $28.1K and no Medicaid billing on file; this profile is effectively single-payer Medicare at the claim level and indicates a small-scale Medicare practice absent any Medicaid activity.

    Revenue is highly concentrated in a narrow set of home-visit evaluation-and-management codes: the precomputed top three Medicare codes account for 70.2% of this provider's total Medicare revenue, with 99348 reported at $8.3K (29.4%), 99342 at $7.3K (25.9%), and 99349 at $4.2K (14.9%).

    The code mix strongly indicates a home-visit or domiciliary practice model: multiple top codes are home/residence E/M visits (99348, 99342, 99349, 99344, 99347, 99341), which together suggest routine new and established patient home visits that vary by time and medical decision-making level rather than procedure-driven office care.

    Competitive standing is mixed across individual codes: 99342 ranks #178 of 2463 nationally (93th percentile; typical, unremarkable volume for this code), showing relatively higher national activity for new-patient home visits, while 99348 ranks #2517 of 11547 (78th percentile; typical, unremarkable volume) and 99349 ranks #9426 of 14284 (33th percentile; typical, unremarkable volume), indicating that apart from 99342 the provider is a modest participant for most top codes.

    Ancillary point-of-care testing appears in the revenue mix but at modest scale: COVID testing code 87811 produced $1.7K (41 claims) and ranks #3084 of 10132 (69th percentile; typical, unremarkable volume), and influenza testing 87804 and urinalysis 81002 are also present at lower revenue levels, suggesting episodic diagnostic testing tied to visits rather than a lab-oriented business line.

    Emergency-department code 99284 is present but small (17 claims, $1.4K) and ranks #58266 of 64306 nationally (8th percentile; typical, unremarkable volume), reinforcing that ED-level work is not a primary service line for this provider and that home/residence visits are the dominant operational focus.

    Given total Medicare revenue of $28.1K and the strong share captured by the top three codes (70.2%), this provider's financial exposure to policy or utilization shifts affecting home-visit E/M codes is concentrated; changes in reimbursement or utilization for 99348, 99342, or 99349 could materially alter the provider's Medicare revenue.

    The long tenure (NPI enumerated 2006-08-10 (~20 years ago)) paired with a concentrated set of home-visit E/M codes suggests an established, narrowly focused practice pattern that serves homebound or residence-based patients, rather than a broad multimodal ambulatory or hospital-based practice.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…170$50$8.3K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…150$50$7.3K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…50$80$4.2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…30$90$2.5K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…40$40$1.7K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.20$80$1.4K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…40$30$1.1K
    99341The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…30$30$860
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.50$20$770
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…30$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99348110170$50$8.2K
    99342110150$50$7.3K
    9928491090$90$6.9K
    9934911050$80$4.2K
    9934411030$90$2.5K
    8781111040$40$1.7K
    9934711040$20$1.1K
    8780421050$20$960
    9934111030$30$860
    8100241050$1$210

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ty ShettronCOFamily Nurse Practitioner$3M$0
    Dispatchhealth Nv Wagner PCNVEmergency Medicine Physician$0$1.4M
    Jocelyn KoWAInternal Medicine Physician$146.7K$50.3K
    Christopher WestfallCOEmergency Medicine Physician$113.6K$0
    Alfred Theodore ManiagoNVFamily Nurse Practitioner$111.3K$0
    Denice GuzzardoNVPhysician Assistant$92.5K$5.3K
    Annette AsburyNVFamily Nurse Practitioner$90K$490
    Peter GalaCOFamily Nurse Practitioner$78.4K$0
    Steven GinsburgCONurse Practitioner$64.9K$0
    Michael CleveleyCOFamily Nurse Practitioner$56.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manish Rawat—Medical Physician Assistant$15.5K$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. Armed Forces Europe Distribution
    Randolph Knox — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe