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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJacob Oldham
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    Jacob Oldham — Billing Profile & Reimbursement Data

    NPI 1033109632 · Show Low, AZ · Orthopaedic Surgery Physician

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    Jacob Oldham is a orthopaedic surgery physician provider located in Show Low, Arizona. This profile covers 29 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
    OrganizationJacob Oldham
    Address4951 S White Mountain Rd Bldg A
    CityShow Low
    StateAZ
    ZIP85901
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 25, 2005

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

    Payer SourceTotal Paid
    Medicare$201.7K
    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.

    29 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…40$960$37.5K
    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…260$70$17.9K
    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…320$50$16.1K
    J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg1,190$10$14.3K
    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…190$80$13.9K
    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…140$100$13.7K
    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…20$760$13.6K
    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$1,100$13.2K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$780$11.7K
    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…60$120$7.9K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744711629040$1,290$59.3K
    2713014321030$1,270$45.7K
    J73319201,190$10$42.4K
    298276710020$1,020$25.4K
    234729811020$720$21K
    992144,69910,410120$80$20.6K
    J732530401,460$10$13K
    992231,9512,77050$130$11K
    992131,6759,60080$60$9.6K
    J7321334090$60$9.3K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingman Healthcare, IncAZGeneral Acute Care Hospital$0$86.1M
    Summit Healthcare AssociationAZRural Acute Care Hospital$0$50.7M
    Summit Healthcare Medical AssociatesAZFamily Medicine Physician$0$15.5M
    Kingman Healthcare, IncAZSpecialist$0$9.8M
    White Mountain Regional Medical CenterAZCritical Access Hospital$0$6.9M
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Ryan JonesAZPhlebology Physician$1.1M$0
    Kathleen NaegeleILHematology & Oncology Physician$805.1K$57.9K
    Gordon GradoAZRadiation Oncology Physician$826.6K$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Changepoint Integrated HealthAZCommunity/Behavioral Health Agency$0$15.7M
    Guardian Flight LLCAZAir Ambulance$389.9K$3.5M
    Guardian Flight LLCAZAir Ambulance$663.5K$3.1M
    Travis HamblinAZDermatology Physician$1.1M$0
    Barnet Dulaney Perkins Eye Center, PCAZAmbulatory Surgical Clinic/Center$783.1K$267.4K
    Alliance Healthcare Services IncAZMobile Radiology Clinic/Center$461.8K$0
    John KnippersAZOphthalmology Physician$373.8K$0
    Leon DrissAZInternal Medicine Physician$259.6K$0
    Milton RandallAZPhysical Therapist$245K$0
    Peter NiemczykAZUrology Physician$210.5K$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. Arizona Distribution
    Jacob Oldham — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona