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    OpenPayerNPI Medicare & MedicaidKeith Hall
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    Keith Hall — Billing Profile & Reimbursement Data

    NPI 1932163177 · Pikeville, KY · Orthopaedic Surgery Physician

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    Keith Hall is a orthopaedic surgery physician provider located in Pikeville, Kentucky. This profile covers 14 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
    OrganizationKeith Hall
    Address911 Bypass Rd Bldg A
    CityPikeville
    StateKY
    ZIP41501
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 14, 2006

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

    Payer SourceTotal Paid
    Medicare$182.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…50$810$40.5K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$980$30.3K
    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…410$60$26K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…440$40$15.2K
    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…160$90$13.6K
    29879The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by reshaping the articular cartilage covering its ball and socket, grinding its surface and in some cases…30$500$13.1K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…60$190$10.5K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…60$130$7.3K
    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…140$50$6.3K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$340$6.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274477416030$1,090$45.7K
    2982714020$760$15.1K
    992148887,230110$70$14.1K
    2982851020$640$10.3K
    2987911020$500$10K
    2988111020$490$8.3K
    992132,2817,25080$50$7.7K
    206103864080$40$6.6K
    2987611030$200$5.4K
    99204793,20030$100$4.8K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pikeville Medical Center IncKYGeneral Acute Care Hospital$0$181.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Pikeville Medical Center Inc.KYMulti-Specialty Clinic/Center$0$34.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Sujata GuttiKYNeurology Physician$82.9K$3.7M
    Pamela WellsTNDiagnostic Radiology Physician$827K$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Sainath GaddamTXInterventional Cardiology Physician$251.9K$538.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dungarvin Kentucky, LLC - PikevilleKYDevelopmentally Disabled Services Day Training Agency$0$16.3M
    Appalachian Community Care LLCKYProfessional Counselor$0$13.1M
    Joshua RaleighKYPediatric Dentistry$0$7.8M
    Bhg Xxv, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$228K$6.3M
    Renew Residential Treatment ServicesKYSubstance Abuse Rehabilitation Facility$0$4.9M
    Stepping Stones LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$4.6M
    Chad StreetKYOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Addiction Recovery Care LLCKYSubstance Abuse Rehabilitation Facility$0$3.7M
    Compassion ServicesKYRural Health Clinic/Center$0$3.3M
    Pikeville Radiology PLLCKYDiagnostic Radiology Physician$0$3.2M

    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
    Keith Hall — 6 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky