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    OpenPayerNPI Medicare & MedicaidSamuel Phinney
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    Samuel Phinney — Billing Profile & Reimbursement Data

    NPI 1164564837 · Highlands Ranch, CO · Surgery Physician

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    Samuel Phinney is a surgery physician provider located in Highlands Ranch, Colorado. This profile covers 9 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSamuel Phinney
    Address9330 S University Blvd
    CityHighlands Ranch
    StateCO
    ZIP80126
    TaxonomySurgery Physician
    NPI EnumeratedFebruary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$38.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49650The provider performs laparoscopic repair of an initial inguinal hernia.40$450$17.6K
    99205The 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…60$170$9.7K
    99204The provider sees a new 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 provider…30$120$3.4K
    99215The 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…10$140$2K
    49591The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…10$150$1.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$1.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$50$1.1K
    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$70$790
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$40$600

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4959121010$840$12.6K
    4965045020$600$11.4K
    992152,9193,23040$110$8.1K
    992137,1197,20070$60$6.6K
    992322,0992,34050$60$6.5K
    992051621,30020$150$5K
    992041,8133,67030$110$4.7K
    9923144250030$40$2K
    992128831,53030$40$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul RochonCOVascular & Interventional Radiology Physician$420.6K$0
    Cj KleckCOOrthopaedic Surgery of the Spine Physician$277.9K$0
    Ryan KoonceCOAdult Reconstructive Orthopaedic Surgery Physician$260.7K$0
    Adam SeidlCOSports Medicine (Orthopaedic Surgery) Physician$241.5K$0
    Vikas PatelCOOrthopaedic Surgery of the Spine Physician$238.2K$0
    Craig HoganCOAdult Reconstructive Orthopaedic Surgery Physician$220.2K$0
    Philip YorkCOOrthopaedic Surgery of the Spine Physician$195.8K$0
    Aaron KirkpatrickCODiagnostic Radiology Physician$176.7K$0
    Ryan LanningCORadiation Oncology Physician$175.2K$0
    David Ou-yangCOOrthopaedic Surgery of the Spine Physician$169.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grace Mountain LLCCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.2M
    Bartlomiej LipkoCOPhysician Assistant$101.3K$0
    Evelyn WangCOAllergy & Immunology Physician$57.3K$0
    Michael CleveleyCOFamily Nurse Practitioner$56.9K$0
    Shannon AmirieCOFamily Medicine Physician$45.2K$0
    Kacey CraigCOFamily Nurse Practitioner$38.9K$0
    Jennifer TetraultCOPhysician Assistant$14.2K$0
    Ashley McdanielCOFamily Nurse Practitioner$9.8K$0
    Christine PatornitiCORegistered Dietitian$3.8K$0
    Julie PrutsmanCOAudiologist-Hearing Aid Fitter$600$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. Colorado Distribution
    Samuel Phinney — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado