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    OpenPayerNPI Medicare & MedicaidDavid Johnson
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    David Johnson — Billing Profile & Reimbursement Data

    NPI 1093728677 · Biddeford, ME · Orthopaedic Surgery Physician

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    David Johnson is a orthopaedic surgery physician provider located in Biddeford, Maine. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Johnson
    Address10 Wellspring Rd
    CityBiddeford
    StateME
    ZIP04005
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 14, 2006

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

    Payer SourceTotal Paid
    Medicare$48.6K
    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 CodeDescriptionClaimsAvg PaidRevenue
    23472In 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$1,130$18.1K
    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$970$10.6K
    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…140$50$6.7K
    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…70$70$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$50$3.3K
    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…80$30$2.6K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.180$10$1.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$30$700
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…20$30$440
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$10$220

    Showing 1–10 of 12

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    23472152020$650$13K
    27245101010$620$8.7K
    992141,3122,50070$70$7.2K
    992133842,35050$50$4.3K
    206105318040$40$2.9K
    992039562030$60$2.4K
    9921220641030$30$1.5K
    735626412040$10$850
    73030416040$10$550
    2060521020$30$540

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEMulti-Specialty Clinic/Center$0$10.9M
    Youval KatzPAHematology & Oncology Physician$982.3K$0
    Nathan WilsonMEInternal Medicine Physician$231.7K$0
    Samantha DialMEClinical Neurophysiology Physician$82.3K$138.1K
    Ellie MuellerMEInterventional Cardiology Physician$201.2K$0
    Andrei ZaslavskyMEInternal Medicine Physician$187.1K$0
    Thomas BanderMEMOHS-Micrographic Surgery Physician$178.3K$0
    Alexander MartinezMEPain Medicine (Physical Medicine & Rehabilitation) Physician$169.8K$0
    Alan HanleyMEClinical Cardiac Electrophysiology Physician$162.3K$0
    Adam RanaMEOrthopaedic Surgery Physician$159.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEGeneral Acute Care Hospital$0$70.7M
    Spurwink Services Inc.MEDevelopmentally Disabled Services Day Training Agency$0$38.6M
    Northeast Residential ServicesMEIn Home Supportive Care Agency$0$29.7M
    Counseling And Trauma Therapy AssociatesMEClinical Social Worker$0$12.4M
    Easy Care ResidentialMEIn Home Supportive Care Agency$0$10.3M
    Maine Behavioral HealthcareMEMental Health Clinic/Center (Including Community Mental Health Center)$0$7.9M
    Remmes Orthodontics, P.A.MEOrthodontics and Dentofacial Orthopedics Dentistry$0$5.8M
    Oceanside Community ServicesMECommunity/Behavioral Health Agency$0$5.5M
    Maine Connect Care LLCMEHome Health Agency$0$4.3M
    Savida Health, PCMEAddiction Medicine (Internal Medicine) Physician$0$3.9M

    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. Maine Distribution
    David Johnson — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine