Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Polley
    Ask Trek AI about this page

    Nathan Polley — Billing Profile & Reimbursement Data

    NPI 1003105529 · Madison, IN · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Nathan Polley — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nathan Polley is a orthopaedic surgery physician provider located in Madison, Indiana. This profile covers 31 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathan Polley
    Address1373 E State Road 62 Ste 2a
    CityMadison
    StateIN
    ZIP47250
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 5, 2011

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

    Payer SourceTotal Paid
    Medicare$215K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…50$930$46.5K
    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…660$60$41.1K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…370$80$28.5K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$930$23.3K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$1,050$14.7K
    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…150$90$13.4K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…250$40$10.8K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose40$100$4.1K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4,020$1$4K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.130$20$3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744710134040$1,130$51.1K
    2713011022030$1,280$40.9K
    647218510030$420$16.2K
    992144,35110,540110$80$15.5K
    234727811020$650$14.9K
    J7324142070$100$9.4K
    9921327710,82080$50$7.6K
    20611514040$70$5.2K
    20610991,00050$40$4.6K
    992031,8503,49030$70$3.1K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Norton - Kings Daughters Health IncINFamily Medicine Physician$0$11.8M
    Owensboro Health Medical Group, IncKYFamily Medicine Physician$0$10.6M
    Norton - Kings Daughters Health, IncINGeneral Acute Care Hospital$0$8.9M
    Owensboro Health Medical Group, Inc.KYSpecialist$0$3.9M
    Norton Hospitals IncKYMulti-Specialty Clinic/Center$0$3.4M
    Patricia HansenKYInternal Medicine Physician$2.6M$0
    Kishor VoraKYCardiovascular Disease Physician$2M$334.5K
    Roneka RavenellINRheumatology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincare Inc.INDurable Medical Equipment & Medical Supplies$0$3.6M
    Eduardo RiveraINMOHS-Micrographic Surgery Physician$896.9K$0
    George AlcornINInternal Medicine Physician$254.8K$0
    William PorterINRadiation Oncology Physician$227.5K$0
    Steven VorhiesINFamily Medicine Physician$148.4K$0
    Abdelmessiah GuirguisINInternal Medicine Physician$148.1K$0
    Mark TottenINFamily Medicine Physician$133.7K$0
    Jefferson County AuditorINPublic Health or Welfare Agency$63.7K$65.5K
    Thomas EckertINGastroenterology Physician$128.4K$0
    Dawn MeachamINFamily Medicine Physician$72.8K$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. Indiana Distribution
    Nathan Polley — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana