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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Mcafee
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    Paul Mcafee — Billing Profile & Reimbursement Data

    NPI 1033136866 · Baltimore, MD · Orthopaedic Surgery of the Spine Physician

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    Paul Mcafee is a orthopaedic surgery of the spine physician provider located in Baltimore, Maryland. This profile covers 20 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
    OrganizationPaul Mcafee
    Address3333 N Calvert St Ste 655
    CityBaltimore
    StateMD
    ZIP21218
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJuly 16, 2006

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

    Payer SourceTotal Paid
    Medicare$320.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…360$140$49.7K
    22612The 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$1,360$47.5K
    63081The provider excises (removes) part or all of a cervical vertebra via an frontal (anterior) approach and decompresses the spinal cord and/or nerve roots at a single level in the neck.20$1,560$32.8K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…40$640$23.1K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…70$310$22.6K
    63056The provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a…30$660$22.3K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…30$660$21.2K
    63047The 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$490$18.2K
    22554The 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$550$12.2K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.270$40$10.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2261286020$1,580$37.9K
    22614298060$280$20.6K
    6308111020$1,020$18.4K
    630472011020$620$16.8K
    6305611030$580$16.8K
    22842118020$500$13.1K
    992151644,07050$120$10.9K
    2221411020$560$10.6K
    22845143020$490$8.8K
    63048559040$150$7.3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    Howard HauptmanMDRheumatology Physician$2.9M$0
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0
    Prashanth RaoMDCardiovascular Disease Physician$1.1M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Atif RasheedTNEmergency Medicine Physician$832.9K$54.7K
    Jazibeh QureshiMDRheumatology Physician$880.1K$0
    Paresh ShahMDClinical Cardiac Electrophysiology Physician$836K$0
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All Walks Of Life, LLCMDCommunity/Behavioral Health Agency$0$27.5M
    Concerted Care Group Baltimore, LLCMDCase Management Agency$446.5K$26.3M
    Btst Services, LLCMDCommunity/Behavioral Health Agency$0$26M
    Btst Services LLCMDMental Health Counselor$0$24.3M
    Institutes For Behavior Resources, Inc.MDMethadone Clinic$513.4K$21.2M
    David's Loft Clinical ProgramsMDAddiction (Substance Use Disorder) Counselor$0$17M
    Mosaic Community Services, IncMDRehabilitation Clinic/Center$0$16.8M
    All Walks Of Life, LLCMDCommunity/Behavioral Health Agency$0$16.8M
    Man Alive, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$884.9K$12.9M
    High Hopes, LLCMDCommunity/Behavioral Health Agency$0$13.7M

    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. Maryland Distribution
    Paul Mcafee — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland