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    OpenPayerNPI Medicare & MedicaidJohn Dorizas
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    John Dorizas — Billing Profile & Reimbursement Data

    NPI 1144290834 · Chattanooga, TN · Sports Medicine (Orthopaedic Surgery) Physician

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    John Dorizas is a sports medicine (orthopaedic surgery) physician provider located in Chattanooga, Tennessee. This profile covers 13 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Dorizas
    Address979 E 3rd St Ste C430
    CityChattanooga
    StateTN
    ZIP37403
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicare$51K
    Medicaid$640

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$740$12.5K
    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…130$60$7.9K
    64713In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the brachial plexus, a network of peripheral nerves that run from the…20$390$6.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…10$390$5.4K
    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…60$90$5.3K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…20$140$2.8K
    72052In this diagnostic procedure, the provider performs six or more X–ray views of the cervical spine. The goal of this study is to examine the patient's spine for such conditions as abnormal curves,…60$40$2.4K
    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…30$70$2.2K
    64418The provider injects an anesthetic agent and/or steroid close to the suprascapular nerve, which is located above the flat triangular bone at the back of the shoulder known as the shoulder blade.…40$60$2.1K
    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…40$50$1.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29827429020$1,110$26.7K
    29828193020$1,130$24.9K
    992147,80311,370120$80$16.6K
    992133,89711,03080$50$8K
    29823135020$320$6.7K
    6471311020$390$6.6K
    206106561,00070$40$5.5K
    992031,6423,75030$70$3.1K
    6441831020$40$1.3K
    730302901,01040$20$1.1K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$40$560
    J1040Injection, methylprednisolone acetate, 80 mg10$10$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,8954,050620$30$183.9K
    J1040Injection, methylprednisolone acetate, 80 mg146150130$10$2.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chattanooga Hamilton County Hospital AuthorityTNGeneral Acute Care Hospital$0$52.4M
    Chattanooga Hamilton County Hospital AuthorityTNInternal Medicine Physician$0$27.9M
    Clint KingsleyALHematology & Oncology Physician$1.6M$22K
    Chirag PatelTNHepatology Physician$398.5K$3.1K
    Tareck KadrieTNNeurology Physician$372.3K$3.8K
    Asma KhanTNEndocrinology, Diabetes & Metabolism Physician$175.8K$77.3K
    Harish ManyamTNClinical Cardiac Electrophysiology Physician$244.5K$0
    Matthew HigginsTNOrthopaedic Surgery Physician$227.6K$0
    Brandon BrownTNDermatology Physician$204.9K$0
    Frank KimseyTNRadiation Oncology Physician$200.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regional Obstetrical Consultants PCTNMaternal & Fetal Medicine Physician$0$14.2M
    Tennessee River Physicians, PLLCTNEmergency Medicine Physician$0$3.9M
    Southeastern Emergency Services Of Memphis, P.C.TNEmergency Medicine Physician$0$3.8M
    Tennessee Interventional And Imaging Associates, PLLCTNDiagnostic Radiology Physician$0$3.4M
    Erlanger HealthTNGeneral Acute Care Hospital$0$3.3M
    Hearth Hospice Of Tennessee, LLCTNCommunity Based Hospice Care Agency$0$2.8M
    Erlanger HealthTNInternal Medicine Physician$0$2.3M
    Robert GrahamTNHematology & Oncology Physician$1.2M$19.8K
    Harsha VardhanaTNMedical Oncology Physician$941.1K$66.6K
    Sumana NagireddyTNHematology & Oncology Physician$836.4K$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.

    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. Tennessee Distribution
    John Dorizas — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    John Dorizas — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee