Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Orthopaedic & Neurosurgery Specialists, PLLC (NPI 1033318720)

Orthopaedic & Neurosurgery Specialists, PLLC is a orthopaedic surgery physician provider located in Greenwich, Connecticut. This profile covers 0 Medicare and 46 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Orthopaedic & Neurosurgery Specialists, PLLC
Address	6 Greenwich Office Park
City	Greenwich
State	CT
ZIP	06831
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 13, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

46 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…	14,530	$30	$377.7K
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…	18,920	$20	$321.6K
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…	1,200	$120	$140.2K
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…	570	$170	$94.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	190	$210	$38.7K
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…	1,060	$30	$29.7K
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.	2,230	$10	$17.9K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	100	$160	$15.1K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	860	$20	$12.9K
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.	360	$30	$10.3K

Showing 1–10 of 46

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

Claims Volume vs. Connecticut Distribution

Orthopaedic & Neurosurgery Specialists, PLLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	66	350	1,820	$40	$537.3K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	23	50	1,420	$20	$338.6K
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…	100	1,590	740	$50	$331.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	35	50	2,660	$50	$256.2K
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…	143	1,710	750	$30	$243.3K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	18	20	1,770	$50	$189.5K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	31	120	1,140	$10	$178.2K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	46	60	850	$120	$163.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	10	40	2,930	$40	$157.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	33	50	340	$140	$138.8K

Showing 1–10 of 46

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Singer	NY	Diagnostic Radiology Physician	$1.2M	$0
Peter Stein	NY	Orthopaedic Hand Surgery Physician	$631.8K	$0
Kapil Desai	CT	Diagnostic Radiology Physician	$576.8K	$20.4K
Frank Lombardo	NY	Orthopaedic Surgery Physician	$568.7K	$7K
Kevin Cassidy	NY	Orthopaedic Surgery Physician	$567.9K	$0
Tamar Kessel	CT	Physical Medicine & Rehabilitation Physician	$540.4K	$0
Russell Tigges	NY	Adult Reconstructive Orthopaedic Surgery Physician	$539.2K	$0
Joseph Rothenberg	NY	Physical Medicine & Rehabilitation Physician	$455.4K	$0
Amir Annabi	NY	Physical Medicine & Rehabilitation Physician	$379.3K	$0
David Tuckman	NY	Orthopaedic Hand Surgery Physician	$351.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jerry Tsong	CT	Ophthalmology Physician	$1.9M	$0
Aleksandr Levchenko	CT	Physical Medicine & Rehabilitation Physician	$339.9K	$0
Seth Miller	CT	Orthopaedic Surgery Physician	$303.3K	$0
Jonathan Berliner	CT	Orthopaedic Surgery Physician	$281.2K	$0
Kevin Choo	CT	Orthopaedic Surgery Physician	$274.6K	$0
Jeffrey Heftler	CT	Physical Medicine & Rehabilitation Physician	$268.1K	$0
Donna Densel	CT	Ophthalmology Physician	$247.7K	$0
Francis Ennis	CT	Orthopaedic Surgery Physician	$239.4K	$0
Mark Vitale	CT	Orthopaedic Hand Surgery Physician	$227.9K	$0
Kiyoko Tomita	CT	Internal Medicine Physician	$203.8K	$0

Orthopaedic & Neurosurgery Specialists, PLLC — Billing Profile & Reimbursement Data

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Orthopaedic & Neurosurgery Specialists, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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