Active NPI 1659830313 Individual Practitioner Male Practitioner

Samuel Larking Rayburn , PA-C

Physician Assistant • Hastings, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Rayburn, PA-C is a certified Physician Assistant practicing in Hastings, NE. With approximately 8 years of clinical experience since completing medical education in 2018, Samuel Rayburn delivers high-quality medical care to the local community at 2207 OSBORNE DR W STE 100.

Samuel Rayburn is affiliated with The Mary Lanning Memorial Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2207 Osborne Dr W Ste 100

Hastings, NE 689019111

Telephone 4024622139

Associated Practice Facility / Clinic

🏢 Hastings Orthopaedics & Sports Medicine Specialists Pc Facility NPI 1003858473

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hastings, NE

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -2.4 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

27 Specialists

Practicing in Hastings, NE (1366 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rayburn (8 Years) 8 Yrs

Hastings Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,694	111	$5.00	$0.98
20610 Aspiration and/or injection of fluid from large joint	209	107	$183.57	$54.57
99213 Established patient office or other outpatient visit, typically 15 minutes	162	116	$169.00	$71.12
73562 X-ray of knee, 3 views	96	80	$128.30	$35.92
73030 X-ray of shoulder, minimum of 2 views	69	48	$104.35	$29.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	59	$239.00	$100.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$313.00	$128.89
72170 X-ray of pelvis, 1-2 views	31	30	$77.00	$21.59
27447 Replacement of knee joint, both sides of knee	20	19	$1193.70	$194.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$207.00	$86.78
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$1039.00	$154.46
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$1173.00	$174.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,734	109	$5.00	$1.06
20610 Aspiration and/or injection of fluid from large joint	204	96	$181.62	$56.08
99213 Established patient office or other outpatient visit, typically 15 minutes	153	106	$167.75	$71.32
73562 X-ray of knee, 3 views	106	76	$117.26	$33.28
73030 X-ray of shoulder, minimum of 2 views	79	46	$97.22	$27.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	61	$237.75	$102.08
72170 X-ray of pelvis, 1-2 views	55	44	$77.00	$22.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$307.05	$132.41
27447 Replacement of knee joint, both sides of knee	24	24	$1038.00	$157.93
73110 X-ray of wrist, minimum of 3 views	19	12	$113.00	$30.48
20550 Injection into tendon or ligament	16	13	$192.00	$39.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$204.46	$88.57
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$1039.00	$158.07
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$188.00	$65.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,762	103	$5.00	$1.13
20610 Aspiration and/or injection of fluid from large joint	208	106	$175.67	$58.05
99213 Established patient office or other outpatient visit, typically 15 minutes	182	119	$147.57	$72.38
73562 X-ray of knee, 3 views	79	58	$109.00	$32.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$211.89	$102.58
73030 X-ray of shoulder, minimum of 2 views	53	34	$91.00	$27.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$198.00	$88.42
27447 Replacement of knee joint, both sides of knee	29	28	$995.00	$157.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$302.00	$132.76
72170 X-ray of pelvis, 1-2 views	24	21	$77.00	$22.15
73110 X-ray of wrist, minimum of 3 views	23	13	$109.00	$32.55
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	21	11	$1700.00	$761.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,784	118	$5.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	218	152	$137.00	$72.91
20610 Aspiration and/or injection of fluid from large joint	212	119	$157.59	$55.01
73562 X-ray of knee, 3 views	78	69	$100.51	$31.44
73030 X-ray of shoulder, minimum of 2 views	54	39	$85.56	$25.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$198.00	$89.17
72170 X-ray of pelvis, 1-2 views	46	38	$77.00	$21.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$200.00	$103.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$83.00	$43.98
73110 X-ray of wrist, minimum of 3 views	32	17	$97.00	$31.84
27447 Replacement of knee joint, both sides of knee	19	19	$1033.00	$159.26
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	17	$912.00	$148.19
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$1110.00	$179.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$302.00	$133.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	19	$3.00	$1.43
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$135.00	$59.16
20610 Aspiration and/or injection of fluid from large joint	23	20	$137.91	$52.44
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$784.00	$134.74
27447 Replacement of knee joint, both sides of knee	19	18	$1000.00	$171.14
29828 Release of shoulder biceps tendon using an endoscope	18	18	$676.00	$69.81
23472 Prosthetic repair of shoulder joint, total shoulder	13	13	$1075.00	$183.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	18	18	$999.17	$168.96
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$784.00	$132.79
29828 Release of shoulder biceps tendon using an endoscope	11	11	$675.27	$66.13

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2335

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

The Mary Lanning Memorial Hospital Association

715 N Saint Joseph Ave, Hastings, NE 689014451

Phone: 4024634521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Michelle Batterman , PA

Physician Assistant

NPI 1083753693

Physician Assistant

Dr. Eric Heidemann , DO

Orthopaedic Surgery

NPI 1184189821

Doctor of Osteopathic Medicine (D.O.)

Tysen Mcdowell , PA-C

Physician Assistant

NPI 1356077796

Physician Assistant (Certified)

Dr. Gary Chingren , MD

Orthopaedic Surgery

NPI 1376587824

Doctor of Medicine (M.D.)

Melissa Berghuis , APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1386205516

Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

Dr. Brent Hood , DO

Orthopaedic Surgery

NPI 1528098340

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 13, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2019

Registered at 2207 OSBORNE DR W STE 100, HASTINGS, NE 689019111 (Tel: 4024622139)

📍

Updated Business Mailing Address March 13, 2019

Registered at 2207 OSBORNE DR W STE 100, HASTINGS, NE 689019111

👤

Provider Name / Credentials Updated March 13, 2019

Recorded as SAMUEL RAYBURN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Physician Assistant (License #2335 in NE)

🟢

Initial NPI Registration & Enumeration March 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659830313

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 13, 2019

Last Update: March 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2207 Osborne Dr W Ste 100

Hastings, NE 689019111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.