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    OpenPayerNPI Medicare & MedicaidGraham Englund
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    Graham Englund — Billing Profile & Reimbursement Data

    NPI 1962528067 · Campbellsville, KY · Trauma Surgery Physician

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    Graham Englund is a trauma surgery physician provider located in Campbellsville, 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
    OrganizationGraham Englund
    Address1698 Old Lebanon Rd
    CityCampbellsville
    StateKY
    ZIP42718
    TaxonomyTrauma Surgery Physician
    NPI EnumeratedMarch 21, 2007

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

    Payer SourceTotal Paid
    Medicare$41.4K
    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
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…20$530$9.6K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…130$40$4.9K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$320$4.4K
    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…70$60$4.3K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$60$3.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$170$2.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$170$2.2K
    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…40$60$2.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.8K
    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…20$90$1.7K

    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
    992146,5637,230110$70$14.1K
    992322,3682,860100$60$11.6K
    4538021124040$140$9.4K
    G010511014030$230$9.3K
    4756383020$490$8.3K
    992135,2927,25080$50$7.7K
    G01219913020$230$5K
    49650102010$330$4.9K
    992221,7142,07030$90$4.5K
    9923112791040$40$3.1K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-generations LLC Central KyKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$36.1M
    Taylor County Hospital District Health Facilities CorporationKYGeneral Acute Care Hospital$0$36.1M
    Modern Care LLCKYAdult Care Home Facility$0$29.7M
    The Kid Spot CenterKYOccupational Therapist$0$27.4M
    Phoenix Way, LLCKYDevelopmentally Disabled Services Day Training Agency$0$13.6M
    Reach For The Stars Case ManagementKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$5.4M
    Air Evac Ems IncKYAir Ambulance$987.5K$1.8M
    City Of Campbellsville KyKYLand Ambulance$516.8K$805.8K
    Peter HardinKYRadiation Oncology Physician$694K$0
    Matthew FeltnerKYPodiatrist$633.9K$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. Kentucky Distribution
    Graham Englund — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky