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NPI 1033317219 · Toms River, NJ · Orthopaedic Surgery Physician
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David Dickerson is a orthopaedic surgery physician provider located in Toms River, New Jersey. This profile covers 26 Medicare and 21 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 | David Dickerson |
| Address | 780 Route 37 W Ste 330 |
| City | Toms River |
| State | NJ |
| ZIP | 08755 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | July 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $171.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27245 | In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the… | 20 | $1,050 | $25.1K |
| J0897 | Injection, denosumab, 1 mg | 1,020 | $20 | $19.4K |
| 27447 | In 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… | 20 | $1,090 | $17.4K |
| 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… | 220 | $80 | $16.6K |
| 27236 | In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to… | 20 | $1,020 | $16.3K |
| 99214 | The 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 | $110 | $15.8K |
| 99203 | The 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… | 150 | $90 | $13.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 70 | $110 | $7.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 50 | $150 | $7K |
| 20611 | In 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… | 70 | $90 | $6.1K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 342 | 380 | 3,060 | $20 | $87.8K |
| 27447 | 203 | 270 | 30 | $1,040 | $51.2K |
| 99214 | 6,446 | 13,640 | 130 | $90 | $23.6K |
| 27245 | 7 | 60 | 20 | $990 | $16.9K |
| 27236 | 11 | 40 | 10 | $920 | $14.7K |
| 99213 | 3,866 | 14,090 | 100 | $70 | $13.1K |
| 99223 | 2,528 | 4,980 | 50 | $140 | $11.8K |
| 20611 | 162 | 340 | 70 | $90 | $10K |
| 99222 | 1,180 | 4,370 | 40 | $110 | $6.7K |
| 99204 | 5,006 | 7,160 | 40 | $130 | $6.5K |
Showing 1–10 of 26
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.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 4,110 | $130 | $513.9K |
| 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… | 3,600 | $80 | $302.7K |
| 99203 | The 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… | 2,180 | $130 | $276.5K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 1,500 | $150 | $229.2K |
| 20611 | In 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… | 1,330 | $110 | $141.1K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 1,880 | $40 | $77.2K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 920 | $40 | $32.3K |
| 73565 | In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in… | 570 | $40 | $21.5K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 400 | $50 | $19.5K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 40 | $340 | $14.1K |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
21 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… | 1,046 | 4,450 | 740 | $40 | $229.8K |
| 99214 | The 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… | 603 | 3,790 | 580 | $60 | $204K |
| 99203 | The 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… | 166 | 1,460 | 150 | $80 | $97.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,481 | 1,520 | 260 | $40 | $71.9K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 15 | 20 | 250 | $140 | $62.4K |
| 73564 | In 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. | 88 | 120 | 530 | $30 | $46K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 7 | 180 | 120 | $120 | $41.6K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 249 | 250 | 460 | $20 | $38.2K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 93 | 170 | 420 | $30 | $36.5K |
| 20611 | In 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… | 5 | 30 | 300 | $60 | $36.5K |
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Other providers in the same ZIP code as David Dickerson, ranked by combined Medicare and Medicaid revenue.
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