Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Timothy Bopp (NPI 1124046016)

Field	Value
Entity Type	Individual
Organization	Timothy Bopp
Address	310 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$221K
Medicaid	$0

Key Findings

This profile is a clinically focused orthopaedic surgery practice concentrated on joint replacement and related musculoskeletal care: the top procedures are knee replacement (27447) and hip replacement (27130), supplemented by office evaluation and management visits and intra-articular injections (J7325 and J1030). The presence of 20985 (computer assisted navigation) alongside high-volume imaging codes suggests the practice performs both operative joint replacements and bundled pre-/post-operative imaging and injections in its workflow.

Revenue concentration is heavily driven by a small set of surgical CPTs: the precomputed top-3 Medicare codes account for 62.1% of this provider's total Medicare revenue, with 27447 producing $69.5K (31.5% of Medicare revenue), 27130 producing $50.4K (22.8%), and 99214 producing $17.2K (7.8%). This concentration indicates the provider’s Medicare business is largely dependent on major arthroplasty procedures rather than broad primary-care E/M or ancillary services.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $221K while there is no Medicaid billing on file. That imbalance means payer contracting risk and utilization patterns will be driven almost entirely by Medicare fee schedules and beneficiary referrals rather than by Medicaid volume.

Competitive standing for the core joint-replacement codes is above average but not dominant nationally: 27447 ranks #1815 of 12089 providers nationally (85th percentile; typical, unremarkable volume for this code) and 27130 ranks #1334 of 8062 providers nationally (83th percentile; typical, unremarkable volume for this code). Those percentiles indicate a meaningful national presence in arthroplasty relative to peers, consistent with a surgeon who performs a steady, above-median caseload but is not among the highest-volume centers.

Office and outpatient evaluation-and-management activity is a meaningful secondary revenue stream: 99214 accounts for $17.2K (7.8% of Medicare revenue) and 99215 accounts for $14.8K (6.7%), with 99214 ranked #151766 of 479517 providers nationally (68th percentile; typical, unremarkable volume for this code) and 99215 ranked #23935 of 145531 providers nationally (83th percentile; typical, unremarkable volume for this code). These rankings show routine clinic follow-up and higher-complexity visits support surgical practice throughput but are not the dominant source of revenue.

Imaging and in-office diagnostics are high relative strengths: knee X-ray 73560 ranks #668 of 20451 providers nationally (97th percentile; typical, unremarkable volume for this code), joint survey 77077 ranks #38 of 487 providers nationally (92th percentile; typical, unremarkable volume for this code), and hip X-ray 73503 ranks #74 of 719 providers nationally (90th percentile; typical, unremarkable volume for this code). Those percentiles point to unusually high imaging volume for an orthopaedic surgeon’s Medicare panel, implying in-clinic imaging capabilities or tight integration with imaging services.

Therapeutic injections and technology-enabled surgery play visible roles in the care mix: J7325 (Hyaluronan) shows $14.1K in Medicare revenue (6.4% of the provider’s Medicare revenue) and ranks #476 of 1793 providers nationally (73th percentile; typical, unremarkable volume for this code), while 20985 (computer assisted navigation) produces $7K (3.2%) and ranks #338 of 1390 providers nationally (75th percentile; typical, unremarkable volume for this code). Together these items suggest a practice combining conservative injection treatments with modern, navigation-assisted arthroplasty techniques.

The provider has long tenure in the Medicare program, with the NPI enumerated 2006-07-18 (~20 years ago), but lifetime Medicare revenue is modest at $221K. That combination—long active enrollment but relatively limited lifetime Medicare revenue and concentrated surgical coding—suggests either a focused practice with selective Medicare caseload or part-time/limited Medicare panel exposure rather than a high-volume, high-revenue arthroplasty center.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In 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…	70	$970	$69.5K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	50	$950	$50.4K
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…	200	$90	$17.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	120	$120	$14.8K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,020	$10	$14.1K
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…	140	$60	$9.1K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	70	$110	$7K
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…	150	$50	$6.5K
77077	The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.	170	$40	$6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$150	$5.4K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Timothy Bopp — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	11	60	40	$1,110	$47.9K
27130	8	40	30	$970	$35K
99214	364	1,470	90	$60	$10.4K
J7325	1	10	1,420	$10	$10.3K
99215	70	480	40	$100	$6.9K
99213	402	1,490	80	$50	$5.8K
99205	53	160	30	$140	$5.1K
99204	195	570	30	$100	$4.4K
99222	347	440	30	$100	$3.8K
77077	4	10	130	$30	$3.4K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Kraljic	ND	Neurological Surgery Physician	$426.1K	$0
Troy Pierce	ND	Orthopaedic Surgery Physician	$282K	$0
Derrick Cote	ND	Orthopaedic Surgery Physician	$251.1K	$0
Brian Dahl	ND	Orthopaedic Surgery Physician	$247.8K	$0
Joseph Carlson	ND	Orthopaedic Surgery Physician	$177.1K	$0
Darren Hill	ND	Ophthalmology Physician	$162.3K	$0
Duncan Ackerman	ND	Orthopaedic Surgery Physician	$157.6K	$0
Chad Carlson	ND	Orthopaedic Surgery Physician	$143K	$0
Brock Norrie	ND	Orthopaedic Surgery Physician	$115K	$0
Bradley Stork	ND	Family Nurse Practitioner	$84.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Timothy Bopp — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References