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NPI 1144481532 · North Easton, MA · Orthopaedic Surgery Physician
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Simon Chao is a orthopaedic surgery physician provider located in North Easton, Massachusetts. This profile covers 40 Medicare and 1 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 | Simon Chao |
| Address | 15 Roche Bros Way |
| City | North Easton |
| State | MA |
| ZIP | 02072 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | June 19, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $340.2K |
| Medicaid | $1.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 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… | 130 | $310 | $40.2K |
| 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… | 540 | $70 | $35.4K |
| 22633 | In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this… | 20 | $1,410 | $28.2K |
| 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. | 490 | $40 | $18.5K |
| 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… | 190 | $90 | $16.8K |
| 22214 | The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the… | 20 | $660 | $14.4K |
| 22224 | The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spine. He excises the disk material adjoining the… | 10 | $1,280 | $14.1K |
| 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… | 20 | $600 | $12.6K |
| 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… | 60 | $200 | $12.6K |
| 15769 | The provider excises (harvests) fat, dermis, fascia, or other tissue and uses the soft tissue to fill in a defect elsewhere on the body of the same patient during the same operative session. | 60 | $200 | $11.5K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
40 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 22633 | 16 | 40 | 20 | $1,220 | $26.9K |
| 22614 | 4 | 70 | 50 | $270 | $15.8K |
| 99214 | 5,045 | 15,410 | 110 | $80 | $15.6K |
| 22214 | 7 | 10 | 20 | $560 | $14.6K |
| 22224 | 1 | 10 | 10 | $1,280 | $14.1K |
| 22514 | 11 | 10 | 10 | $620 | $11.9K |
| 22600 | 11 | 20 | 10 | $820 | $11.5K |
| 15769 | 1 | 10 | 60 | $190 | $11.5K |
| 22845 | 2 | 10 | 20 | $530 | $11.2K |
| 22840 | 21 | 40 | 20 | $520 | $10.9K |
Showing 1–10 of 40
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 20 | $90 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,475 | 5,040 | 200 | $70 | $209.5K |
Other providers in the same ZIP code as Simon Chao, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $5.5B |
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $555M |
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $292.2M |
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $113.4M |
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $62.7M |
| Tempus Unlimited, Inc. | MA | Voluntary or Charitable Agency | $0 | $26.3M |
| Abelard Psychotherapy Inc. | MA | Prescribing (Medical) Psychologist | $0 | $8.4M |
| Charles Leonard | MA | Psychiatry Physician | $29.6K | $7.9M |
| Boston Home Infusion Inc | MA | Pharmacy | $0 | $6.5M |
| Premier Diagnostic Services, Inc | MA | Sonography Radiologic Technologist | $124.5K | $5.7M |
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