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NPI 1083696074 · Glendale, CA · Adult Reconstructive Orthopaedic Surgery Physician
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Philip Merritt is a adult reconstructive orthopaedic surgery physician provider located in Glendale, California. This profile covers 14 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 | Philip Merritt |
| Address | 1505 Wilson Ter |
| City | Glendale |
| State | CA |
| ZIP | 91206 |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| NPI Enumerated | November 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $395.5K |
| Medicaid | $450 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27446 | In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the… | 130 | $1,180 | $155.6K |
| 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… | 980 | $50 | $47.8K |
| 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… | 40 | $1,150 | $43.6K |
| 27437 | In this procedure, the provider repairs a painful damaged knee cap without inserting an artificial knee joint prosthesis. | 110 | $370 | $41.6K |
| 27486 | In this procedure, the provider performs revision arthroplasty of any one component of the knee joint. He may or may not use an allograft to perform this procedure. Revision arthroplasty is a… | 20 | $1,330 | $22.5K |
| 29876 | The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial… | 40 | $480 | $18.2K |
| 27438 | In this procedure, the provider repairs and replaces a painful, damaged knee cap with an artificial knee cap prosthesis. | 30 | $570 | $18.1K |
| 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… | 290 | $60 | $16.5K |
| 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… | 220 | $40 | $9.3K |
| 20985 | A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a… | 80 | $120 | $9.2K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27130 | 180 | 540 | 30 | $1,070 | $40.8K |
| 27446 | 2 | 40 | 20 | $1,300 | $33.7K |
| 27437 | 1 | 10 | 60 | $360 | $23K |
| 29881 | 5 | 110 | 20 | $830 | $16.5K |
| 27486 | 2 | 10 | 10 | $950 | $15.2K |
| 99213 | 1,106 | 34,660 | 80 | $70 | $13.2K |
| 27438 | 1 | 10 | 20 | $520 | $12K |
| 29876 | 3 | 20 | 20 | $530 | $11.6K |
| 99223 | 10,119 | 13,190 | 50 | $140 | $11.3K |
| 99204 | 7,454 | 19,360 | 40 | $120 | $7.2K |
Showing 1–10 of 14
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 |
|---|---|---|---|---|
| 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… | 20 | $30 | $450 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 12,359 | 13,300 | 640 | $40 | $169.6K |
Other providers in the same ZIP code as Philip Merritt, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gaa, LLC | CA | Adult Day Care Clinic/Center | $0 | $40.3M |
| Vardush Keshishyan | CA | Audiologist | $74.2K | $2.1M |
| Broadway Imaging Medical Center | CA | Diagnostic Radiology Physician | $894.9K | $1.1M |
| Home Related Services Inc | CA | Mobile Radiology Clinic/Center | $619.4K | $1.3M |
| Boris Bagdasarian | CA | Hematology & Oncology Physician | $1.7M | $380 |
| Mireille Hamparian | CA | Ophthalmology Physician | $1.5M | $470 |
| Physicians Surgery Center At Glendale Adventist, LLC | CA | Ambulatory Surgical Clinic/Center | $1.4M | $7.5K |
| Mihran Shirinian | CA | Hematology & Oncology Physician | $1.2M | $210 |
| Arash Alborzi | CA | Infectious Disease Physician | $1M | $0 |
| Neiveen Peter | CA | Internal Medicine Physician | $863.6K | $0 |
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