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    OpenPayerNPI Medicare & MedicaidDuane Tippets
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    Duane Tippets — Billing Profile & Reimbursement Data

    NPI 1093011991 · Anniston, AL · Orthopaedic Surgery Physician

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    Duane Tippets is a orthopaedic surgery physician provider located in Anniston, Alabama. This profile covers 29 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
    OrganizationDuane Tippets
    Address731 Leighton Ave
    CityAnniston
    StateAL
    ZIP36207
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedFebruary 10, 2011

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

    Payer SourceTotal Paid
    Medicare$108.8K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In 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…450$50$20.7K
    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…360$60$20.6K
    27447In 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…10$910$11.8K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$900$10.8K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose110$100$10.5K
    99214The 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…110$90$9.7K
    99204The 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…40$110$4.4K
    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…60$70$4.2K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.110$20$2.4K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,270$1$2.3K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744718421030$710$23.4K
    992143,7667,330120$80$16.8K
    J732483070$100$13.3K
    27245254010$630$10K
    992136466,47080$50$7.9K
    206102160060$50$5.1K
    992041,4983,75030$100$4.8K
    992034962,21030$70$3.1K
    992129971,24030$30$2.1K
    205503514030$40$1.8K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin WaldropALDiagnostic Radiology Physician$633.5K$0
    Lauren BannonALPhysician Assistant$561.1K$0
    Michael BrooksALDiagnostic Radiology Physician$340K$0
    Michael SmithALDiagnostic Radiology Physician$311.7K$0
    Aaron ColemanALDiagnostic Radiology Physician$297.3K$0
    Joseph ZarzourALOrthopaedic Surgery Physician$240.4K$0
    William CraigALPhysical Medicine & Rehabilitation Physician$216.4K$0
    Thomas TerralALOrthopaedic Surgery Physician$190.6K$0
    Sarah GoodeALFamily Nurse Practitioner$170.5K$0
    Carter PelhamALDiagnostic Radiology Physician$164K$0

    Nearby Providers

    Other providers in the same ZIP code as Duane Tippets, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrics Plus, P.C.ALPediatric Nurse Practitioner$0$14.3M
    Pulmonary Care Services IncALDurable Medical Equipment & Medical Supplies$0$8M
    Anniston Pediatrics, IncALPediatrics Physician$0$5.7M
    The Health Care Authority Of The City Of AnnistonALGeneral Acute Care Hospital$0$5.6M
    Grow Pediatric Therapy LLCALSpeech-Language Pathologist$0$2.3M
    Angela M. Martin, M.d. F.a.a.p.ALPediatrics Physician$0$2.1M
    Robert ConryALHematology & Oncology Physician$2.1M$0
    North Alabama Women's CenterALSpecialist$0$1.9M
    Vishala ChindaloreALRheumatology Physician$1.7M$0
    Regional Health Management CorporationALPsychiatry Physician$0$1.6M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Duane Tippets — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama