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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhillip Falender
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    Phillip Falender — Billing Profile & Reimbursement Data

    NPI 1114964384 · Colorado Springs, CO · Physician Assistant

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    Phillip Falender is a physician assistant provider located in Colorado Springs, Colorado. This profile covers 14 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
    OrganizationPhillip Falender
    Address4110 Briargate Pkwy
    CityColorado Springs
    StateCO
    ZIP80920
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 31, 2006

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

    Payer SourceTotal Paid
    Medicare$79.1K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose60$400$23.3K
    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…370$60$21K
    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$8.4K
    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…140$50$6.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.220$20$5.1K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…50$70$3.8K
    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$60$3.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.70$30$2K
    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…20$110$1.9K
    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,…40$40$1.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732653030$400$16.5K
    992143,5808,16080$80$11.3K
    992133747,20070$60$6.6K
    206117519040$80$4.9K
    992042,6963,67030$110$4.7K
    2061010773040$50$3.9K
    992036062,65030$70$3.1K
    992126131,53030$40$2K
    7356411542040$30$1.6K
    7211019830030$30$1.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul StantonCOOrthopaedic Surgery of the Spine Physician$562.5K$0
    Roger SungCOOrthopaedic Surgery of the Spine Physician$441.5K$0
    Chris MalinkyCOPain Medicine (Anesthesiology) Physician$428.9K$0
    Eric JepsonCOAdult Reconstructive Orthopaedic Surgery Physician$369.2K$0
    Tyler BronKSOrthopaedic Surgery Physician$287K$0
    James BeeCOOrthopaedic Surgery of the Spine Physician$184.7K$0
    Richard StockelmanCOSports Medicine (Orthopaedic Surgery) Physician$169K$0
    Bradly DresherCOOrthopaedic Foot and Ankle Surgery Physician$166.8K$0
    Christopher JonesCOSports Medicine (Orthopaedic Surgery) Physician$142.3K$0
    Scott FisherCOSurgery Physician$124.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$42M
    Amy Shandy Speech Language PathologistCOSpeech-Language Pathologist$0$25.6M
    Children's Hospital ColoradoCOChildren's Hospital$0$17.8M
    Academy Heights Foot Clinic PCCOFoot & Ankle Surgery Podiatrist$0$10.8M
    In Honor Of Jade LLC Dba Talem Home Care Colorado SpringsCOIn Home Supportive Care Agency$0$10M
    Unity Transportation LLCCONon-emergency Medical Transport (VAN)$0$9M
    Childrens Eye Center PCCOOphthalmology Physician$0$8M
    University Physicians IncorporatedCOPediatrics Physician$0$7.8M
    Matthews-vu Medical Group, P.C.COInternal Medicine Physician$0$6.9M
    Gorman Medical LLCCOAdult Health Nurse Practitioner$0$5.1M

    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. Colorado Distribution
    Phillip Falender — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado