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NPI 1134247646 · East Syracuse, NY · Orthopaedic Surgery Physician
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William Lavelle is a orthopaedic surgery physician provider located in East Syracuse, New York. This profile covers 26 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | William Lavelle |
| Address | 6620 Fly Road |
| City | East Syracuse |
| State | NY |
| ZIP | 13057 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | March 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $152.4K |
| Medicaid | $4.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 22614 | The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The… | 140 | $300 | $41K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 170 | $90 | $15.8K |
| 22853 | The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides… | 50 | $200 | $8.9K |
| 22600 | The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse… | 10 | $690 | $7.6K |
| 22842 | The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal… | 10 | $580 | $7.6K |
| 22843 | The provider places spinal instrumentation at the back of the spine across seven to twelve vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal… | 10 | $620 | $7.5K |
| 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… | 70 | $100 | $6.9K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 80 | $80 | $6.9K |
| 72110 | In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer. | 310 | $20 | $6.9K |
| 63048 | At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment. | 40 | $160 | $6.4K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 17,401 | 30,450 | 90 | $100 | $19K |
| 62323 | 352 | 390 | 50 | $190 | $15.4K |
| 22614 | 3 | 110 | 40 | $280 | $14.3K |
| 72148 | 129 | 810 | 50 | $120 | $13.1K |
| 99213 | 14,884 | 31,440 | 80 | $70 | $12.1K |
| 22843 | 4 | 10 | 10 | $750 | $9.7K |
| 22600 | 5 | 10 | 10 | $690 | $9.7K |
| 22842 | 55 | 80 | 20 | $540 | $9.2K |
| 72141 | 123 | 630 | 30 | $110 | $6.8K |
| 99204 | 13,534 | 14,170 | 30 | $130 | $6.6K |
Showing 1–10 of 26
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 72082 | In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the… | 140 | $20 | $2.6K |
| 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… | 40 | $50 | $1.8K |
| 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… | 10 | $20 | $220 |
| 72110 | In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer. | 10 | $20 | $180 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 18,474 | 19,110 | 360 | $70 | $321K |
| 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… | 13,033 | 16,550 | 220 | $90 | $186.8K |
| 72082 | In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the… | 36 | 70 | 130 | $50 | $40.2K |
| 72110 | In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer. | 188 | 200 | 130 | $30 | $16.7K |
Other providers in the same ZIP code as William Lavelle, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Richard Cherny | NY | Hematology & Oncology Physician | $6.3M | $8.5K |
| Tarek Sousou | NY | Hematology & Oncology Physician | $4.2M | $700 |
| Jeffrey Kirshner | NY | Hematology & Oncology Physician | $2.2M | $290 |
| Syracuse Endoscopy Associates, LLC | NY | Endoscopy Clinic/Center | $560.3K | $1.1M |
| Steven Duffy | NY | Internal Medicine Physician | $1.2M | $630 |
| Olga Kligerman | NY | Hematology & Oncology Physician | $841.9K | $1.7K |
| K&a Radiologic Technology Services Inc | NY | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $638.2K | $89.1K |
| Tracy Alpert | NY | Radiation Oncology Physician | $527.8K | $0 |
| Upstate Orthopedics Ambulatory Surgery Center LLC | NY | Ambulatory Surgical Clinic/Center | $402.5K | $83.6K |
| Kavitha Prezzano | NY | Radiation Oncology Physician | $477.3K | $0 |
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