I looked at my Hero Designer for Paragon, and the characteristics matched point for point with the book - 20 all primary stats and the secondary set to the value they had. The total 162 points for characteristics matched. The differences between editions crept in elsewhere. I took Paragon's 20's across the board at face value without a lot of thought - it made sense to me to have him top out at that value.
And I don't mind the 5th edition builds at all either. And for Foxbat and Blowtorch, I pulled from both editions as well as some individual tweaks when I added them into the game.
I think there's been some minor adjustment to just about every villain or super I've pulled in, just to fine-tune them to the campaign. That part I figure is going to happen with just about any source book or supplement I want to use. But that depth of information about the city, the entire vibe of it - that's what got me hooked on it as a source book, and that's where I try not to change much.