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NPI 1043574650 · Saint Louis, MO · Orthopaedic Surgery Physician
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Michael Hubbard is a orthopaedic surgery physician provider located in Saint Louis, Missouri. This profile covers 34 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 | Michael Hubbard |
| Address | 2345 Dougherty Ferry Rd |
| City | Saint Louis |
| State | MO |
| ZIP | 63122 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | June 28, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $298.3K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $920 | $65.1K |
| 27130 | In 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… | 50 | $860 | $42.3K |
| 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… | 530 | $80 | $42.1K |
| 23412 | In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the… | 40 | $570 | $19.9K |
| 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… | 160 | $100 | $15.9K |
| 23472 | In 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… | 20 | $1,020 | $15.3K |
| 29824 | The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure… | 40 | $250 | $9.6K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 30 | $290 | $9.4K |
| 20610 | In 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… | 180 | $50 | $8.5K |
| 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… | 130 | $60 | $7.5K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 48 | 250 | 30 | $1,140 | $50.2K |
| 27130 | 25 | 160 | 20 | $1,050 | $31.6K |
| 23472 | 55 | 80 | 20 | $840 | $24.3K |
| 23412 | 1 | 10 | 20 | $850 | $15.3K |
| 99214 | 623 | 8,960 | 100 | $80 | $13.9K |
| 99233 | 2,239 | 2,660 | 70 | $90 | $12.1K |
| 29848 | 13 | 20 | 20 | $400 | $12.1K |
| J7318 | 10 | 10 | 1,500 | $10 | $11.6K |
| 23430 | 2 | 20 | 10 | $490 | $8.3K |
| 99223 | 1,389 | 2,720 | 40 | $130 | $8.2K |
Showing 1–10 of 34
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 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri 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… | 4,033 | 4,310 | 300 | $60 | $110.8K |
Other providers in the same ZIP code as Michael Hubbard, ranked by combined Medicare and Medicaid revenue.
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