Matthew Nugent — Billing Profile & Reimbursement Data
NPI 1083819908 · Grants Pass, OR · Orthopaedic Surgery Physician
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Matthew Nugent is a orthopaedic surgery physician provider located in Grants Pass, Oregon. This profile covers 12 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Matthew Nugent |
| Address | 702 Sw Ramsey Ave Ste 112 |
| City | Grants Pass |
| State | OR |
| ZIP | 97527 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | June 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $156.1K |
| 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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 50 | $1,060 | $51K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 40 | $810 | $33.9K |
| 23395 | In this procedure, the provider transfers a muscle from another location of the patient’s body to the shoulder or upper arm. He performs this procedure to treat injuries that impair the upper… | 40 | $480 | $18.3K |
| 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… | 140 | $90 | $12.2K |
| 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… | 170 | $60 | $10.3K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 30 | $340 | $8.8K |
| 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… | 160 | $50 | $8.2K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 40 | $90 | $3.8K |
| 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… | 30 | $110 | $3.5K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 130 | $30 | $3.3K |
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Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 29827 | 3 | 40 | 20 | $1,060 | $22.3K |
| 29828 | 3 | 20 | 20 | $1,100 | $20.9K |
| 23472 | 5 | 60 | 20 | $700 | $18.3K |
| 23395 | 3 | 10 | 40 | $330 | $16.7K |
| 99214 | 1,946 | 6,070 | 80 | $70 | $10.3K |
| 99213 | 862 | 5,480 | 60 | $50 | $5.7K |
| 29823 | 1 | 20 | 20 | $240 | $4.9K |
| 99204 | 1,153 | 2,750 | 30 | $110 | $4.4K |
| 20610 | 47 | 410 | 40 | $50 | $3.5K |
| 99203 | 951 | 1,790 | 30 | $70 | $3K |
Showing 1–10 of 12
Nearby Providers
Other providers in the same ZIP code as Matthew Nugent, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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