Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidChima Ohaegbulam
    Ask Trek AI about this page

    Chima Ohaegbulam — Billing Profile & Reimbursement Data

    NPI 1164424693 · Waltham, MA · Neurological Surgery Physician

    Customize your policy alerts

    Sign up for Chima Ohaegbulam — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Chima Ohaegbulam is a neurological surgery physician provider located in Waltham, Massachusetts. This profile covers 15 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationChima Ohaegbulam
    Address71 Border Rd Ste 300
    CityWaltham
    StateMA
    ZIP02451
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedAugust 15, 2005

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

    Payer SourceTotal Paid
    Medicare$105.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$700$15.3K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$1,250$15K
    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…170$90$14.7K
    22614The 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…50$280$12.4K
    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…140$70$10.4K
    22842The 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$640$10.2K
    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…90$100$9.5K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$180$4K
    72084In this diagnostic procedure, the provider takes a minimum six X–ray images of the entire thoracic (upper and middle) and lumbar (lower) spine from different projections (directions or angles) to…40$90$3.5K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.20$180$3.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612274020$1,150$21.9K
    22614437050$270$15.8K
    992148,35915,410110$80$15.6K
    630474010020$580$13.4K
    22842448020$520$9.9K
    992134,02113,70070$60$8.8K
    992045,6025,87030$120$5.6K
    63048577030$140$5K
    61783163020$190$5K
    992032264,29030$80$4.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Circle Health Urgent Care, LLCMAUrgent Care Clinic/Center$0$5.9M
    Eric BensonNHOrthopaedic Surgery Physician$824.5K$0
    Concord Orthopaedics Professional AssociationNHOrthopaedic Surgery Physician$0$646.8K
    Stephen KellyMAOrthopaedic Surgery Physician$379.3K$110.9K
    Michael AyersMAOrthopaedic Surgery Physician$484.8K$0
    Geoffrey Van FlandernMAOrthopaedic Surgery Physician$408.1K$0
    Andrew LehmanMAOrthopaedic Surgery Physician$370.3K$4.8K
    Alexander BrothersMAOrthopaedic Surgery Physician$328.3K$22K
    James NairusMAOrthopaedic Surgery Physician$339.8K$0
    Michael MarchettiMAOrthopaedic Surgery Physician$323.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jewish Family & Children's ServiceMAFoster Care Agency$0$11.6M
    Exosome Diagnostics, Inc.MAClinical Medical Laboratory$8.9M$310.6K
    Children's Dental Of Waltham, P.C.MAGeneral Practice Dentistry$0$7.2M
    West Suburban Eye Surgery Center LLCMAOphthalmologic Surgery Clinic/Center$4.9M$1.2M
    Quantum Pathology, LLCMAAnatomic Pathology & Clinical Pathology Physician$3.1M$913.7K
    Boston Eye Surgery & Laser Center TrustMAAmbulatory Surgical Clinic/Center$2.4M$67.1K
    Peter ChangMAOphthalmology Physician$1.3M$0
    Boston Out-patient Surgical Suites, LLCMAAmbulatory Surgical Clinic/Center$693.9K$0
    Stephen AnesiMAOphthalmology Physician$550.8K$0
    Ambika HoguetMAOphthalmology Physician$375.6K$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. Massachusetts Distribution
    Chima Ohaegbulam — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts