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    OpenPayerNPI Medicare & MedicaidCharles Pitts
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    Charles Pitts — Billing Profile & Reimbursement Data

    NPI 1114380193 · Birmingham, AL · Orthopaedic Surgery Physician

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    Charles Pitts is a orthopaedic surgery physician provider located in Birmingham, Alabama. This profile covers 9 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
    OrganizationCharles Pitts
    Address805 Saint Vincents Dr Ste 100
    CityBirmingham
    StateAL
    ZIP35205
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 29, 2016

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

    Payer SourceTotal Paid
    Medicare$29.1K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…100$90$8.5K
    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…110$60$6.2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.190$20$4.5K
    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$100$4.1K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.190$20$4K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…10$60$740
    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$580
    Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass10$40$480
    J1100Injection, dexamethasone sodium phosphate, 1 mg170$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,0557,330120$80$16.8K
    992132,5646,47080$50$7.9K
    992041,4983,75030$100$4.8K
    29405162020$50$1.4K
    Q4038172030$40$1.2K
    736303752030$20$1.1K
    20605426020$30$1K
    73610636020$20$570
    J11008081,430210$1$40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kellen GowerFLFamily Medicine Physician$265.4K$0
    Kenneth MooreALOrthopaedic Surgery Physician$168.5K$0
    Ricardo ColbergALSports Medicine (Physical Medicine & Rehabilitation) Physician$146.6K$0
    Emily Bell CaseyALInternal Medicine Physician$144.3K$0
    Allen MooreMSOrthopaedic Surgery Physician$137.8K$0
    Leonardo TaareaALSports Medicine (Family Medicine) Physician$137.4K$0
    Jay UmarvadiaALSports Medicine (Family Medicine) Physician$135.8K$0
    Edward CainALSports Medicine (Orthopaedic Surgery) Physician$130.7K$0
    Christopher CarterALSports Medicine (Family Medicine) Physician$130.3K$0
    Jose OrtegaALSports Medicine (Internal Medicine) Physician$130.2K$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. Alabama Distribution
    Charles Pitts — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama