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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Brezina
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    James Brezina — Billing Profile & Reimbursement Data

    NPI 1083817910 · Fort Worth, TX · Orthopaedic Surgery Physician

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    James Brezina is a orthopaedic surgery physician provider located in Fort Worth, Texas. This profile covers 13 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
    OrganizationJames Brezina
    Address1651 W. Rosedale
    CityFort Worth
    StateTX
    ZIP76104
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 7, 2007

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

    Payer SourceTotal Paid
    Medicare$94K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…380$70$25.5K
    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…20$1,220$21.9K
    63030This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…20$590$11.2K
    99203The 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…90$80$7.2K
    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…10$590$7.1K
    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.160$40$6.2K
    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…20$300$4.5K
    63035This procedure is laminotomy of each additional cervical or lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a…20$250$4K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…90$30$2.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…20$80$1.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    226129320020$1,380$30.5K
    2261420721040$210$12.4K
    6232339453040$150$10K
    992132,63729,79070$60$8.4K
    6303083010$520$8.3K
    2284214219020$410$8.3K
    992031,65010,82030$70$3.4K
    6303551020$160$3.3K
    992123,1775,51030$40$2.2K
    721103783030$30$1.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acclaim Physician Group, IncTXInternal Medicine Physician$0$30.9M
    Harshal BrokerTXVascular Surgery Physician$1.2M$0
    John LucasTXFamily Medicine Physician$519.7K$0
    Salim BhalooTXOtolaryngology Physician$509K$0
    Thomas RatinoTXInterventional Pain Medicine Physician$384.7K$0
    Charles SmithTXFamily Medicine Physician$360.2K$0
    Mohanakrishnan SathyamoorthyTXCardiovascular Disease Physician$354.7K$0
    Christopher PrattTXPain Medicine (Anesthesiology) Physician$309.3K$0
    Jiangping LiuTXNeurology Physician$299.1K$0
    Yadranko DucicTXOtolaryngology Physician$291.8K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    James Brezina — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas