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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Capito
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    Paul Capito — Billing Profile & Reimbursement Data

    NPI 1952306268 · Charlotte, NC · Diagnostic Radiology Physician

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    Paul Capito is a diagnostic radiology physician provider located in Charlotte, North Carolina. 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
    OrganizationPaul Capito
    Address3623 Latrobe Dr Ste 216
    CityCharlotte
    StateNC
    ZIP28211
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 15, 2005

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

    Payer SourceTotal Paid
    Medicare$45.8K
    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
    37225N/A30$360$11.9K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…190$30$5.3K
    22514The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…10$360$5.1K
    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…20$210$4K
    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…130$30$3.3K
    36200In this procedure, the provider inserts a catheter into a distal artery and then into the aorta. He uses a needle and inserts a guidewire into the needle. The provider performs the procedure for…30$110$2.8K
    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…150$20$2.3K
    75716Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…30$70$2.2K
    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…50$40$2.1K
    75625In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation…30$50$1.6K

    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
    3722583020$3,960$111K
    36475304030$780$34.2K
    2251451010$1,900$32.3K
    939251026030$120$6K
    9388055770040$80$5.1K
    3620011020$220$4.6K
    939233912030$70$3.2K
    939224732040$40$2.9K
    939704170030$60$2.9K
    939751514020$100$2.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Rhonda StewartNCDiagnostic Radiology Physician$265.7K$61.8K
    Christine EppelheimerAZDiagnostic Radiology Physician$306.9K$3.1K
    Robert DufourNCDiagnostic Radiology Physician$244.5K$370
    Leonel VasquezVADiagnostic Radiology Physician$244.7K$0
    Richard AllenGADiagnostic Radiology Physician$234.3K$0
    Daymen TuscanoORDiagnostic Radiology Physician$191.2K$0
    Vincent DamNCDiagnostic Radiology Physician$141K$0
    Daniel ScangaNCDiagnostic Radiology Physician$137.6K$0
    Joel YalowitzNCDiagnostic Radiology Physician$136.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alexander Youth NetworkNCCommunity/Behavioral Health Agency$0$36.8M
    David H. Moore, Dds,ms,paNCPediatric Dentistry$0$32M
    Mid-atlantic Emergency Medical Associates, PLLCNCEmergency Medicine Physician$0$25.2M
    Thompson Child And Family FocusNCCommunity/Behavioral Health Agency$0$24.1M
    Mecklenburg CountyNCState or Local Public Health Clinic/Center$0$22.4M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Novant Health Medical Group LLCNCPediatrics Physician$0$20.4M
    Cooke And Mvula, PLLCNCPediatric Dentistry$0$18.8M
    Carolinas Medical CenterNCChild & Adolescent Psychiatry Physician$0$16.6M
    Cotswold Family MedicineNCFamily Medicine Physician$0$12.2M

    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. North Carolina Distribution
    Paul Capito — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina