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NPI 1003980566 · Santa Rosa, CA · Orthopaedic Surgery of the Spine Physician
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Peter Pappas is a orthopaedic surgery of the spine physician provider located in Santa Rosa, California. This profile covers 7 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peter Pappas |
| Address | 76 Brookwood Ave |
| City | Santa Rosa |
| State | CA |
| ZIP | 95404 |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| NPI Enumerated | November 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $144.5K |
| Medicaid | $930 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 22612 | The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone… | 40 | $1,290 | $55.6K |
| 22554 | The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a… | 20 | $950 | $21K |
| 99213 | The 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… | 290 | $70 | $19.3K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 40 | $460 | $18.7K |
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 20 | $670 | $16.2K |
| 63020 | The provider performs laminotomy of one cervical interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated… | 20 | $460 | $9.1K |
| 99204 | The 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… | 30 | $140 | $4.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 10 | $80 | $920 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 14,279 | 14,520 | 760 | $10 | $122.8K |
Other providers in the same ZIP code as Peter Pappas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Santa Rosa Surgical Services LLC | CA | Ambulatory Surgical Clinic/Center | $3.3M | $0 |
| 4th Street Laser & Surgery Center Inc | CA | Ambulatory Surgical Clinic/Center | $2.4M | $163.6K |
| Santa Rosa Ambulatory Surgical Center Medical Group Inc | CA | Ambulatory Surgical Clinic/Center | $1.1M | $0 |
| James O'dorisio | CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $699.6K | $0 |
| Robert Yohai | CA | Ophthalmology Physician | $277.8K | $0 |
| Adam Kaplan | CA | Urology Physician | $245K | $0 |
| Stefan Zechowy | CA | Otolaryngology Physician | $218.2K | $0 |
| Robert James | CA | Urology Physician | $159.3K | $0 |
| Jose Ballesteros | CA | Cardiovascular Disease Physician | $154.8K | $0 |
| Thomas Axelrad | CA | Orthopaedic Surgery Physician | $132.8K | $0 |
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