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

    NPI 1992717615 · De Pere, WI · Physician Assistant

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    Paul Hurst is a physician assistant provider located in De Pere, Wisconsin. This profile covers 15 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 Hurst
    Address1385 W Main Ave
    CityDe Pere
    StateWI
    ZIP54115
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicare$52K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…390$30$13.3K
    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…190$50$9.4K
    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…80$90$7K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.100$70$6.6K
    55700Code deleted December 31, 2025.30$130$3.3K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.30$80$2.2K
    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$80$1.9K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…100$20$1.8K
    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$1.4K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…30$30$1.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798410350$30$41.1K
    8764051030$30$9.8K
    992148,2359,80080$70$9.2K
    84153158040$20$6.1K
    8780121070$70$5.1K
    992139969,38060$50$4.7K
    55700217020$170$4K
    992042533,39030$100$3.7K
    992031,6462,82030$60$2.4K
    364158822,30070$10$2.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Froedtert Memorial Lutheran Hospital, Inc.WIGeneral Acute Care Hospital$0$157.8M
    Bellin Memorial Hospital Inc.WIGeneral Acute Care Hospital$0$29.2M
    Wisconsin Diagnostic Laboratories LLCWIClinical Medical Laboratory$2.3M$22.7M
    Bellin Memorial Hospital IncWIFamily Medicine Physician$0$19.8M
    Unity Limited PartnershipWICommunity Based Hospice Care Agency$0$16.2M
    Community Memorial Hospital Of Menomonee Falls IncWIGeneral Acute Care Hospital$0$10M
    St. Josephs Community Hospital Of West Bend Inc.WIGeneral Acute Care Hospital$0$5.8M
    Holy Family Memorial IncWIGeneral Acute Care Hospital$0$5M
    Oconto Hospital & Medical Center IncWICritical Access Hospital$0$4.8M
    Oconto Hospital & Medical Center IncWIRural Health Clinic/Center$0$4.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heartland Hospice Services LLCWICommunity Based Hospice Care Agency$0$7.8M
    Katharine TackaberryWIBehavior Analyst$0$5.8M
    Karen KonopWIBehavior Analyst$0$2.7M
    Kerry HoopsWIBehavior Analyst$0$2.1M
    Nicole StotzheimWIBehavior Analyst$0$1.9M
    Kirsten MasrelianWIBehavior Analyst$0$1.6M
    Brown CountyWILocal Education Agency (LEA)$0$1.6M
    Lisa CampbellWIDermatology Physician$466.7K$0
    City Of De PereWILand Ambulance$157K$180.2K
    Hamayun MianWIUrology Physician$146.5K$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. Wisconsin Distribution
    Paul Hurst — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin