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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCasey Cornelius
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    Casey Cornelius — Billing Profile & Reimbursement Data

    NPI 1164649067 · Vancouver, WA · Orthopaedic Surgery Physician

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    Casey Cornelius is a orthopaedic surgery physician provider located in Vancouver, Washington. This profile covers 12 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
    OrganizationCasey Cornelius
    Address2525 Ne 139th St
    CityVancouver
    StateWA
    ZIP98686
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 20, 2007

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

    Payer SourceTotal Paid
    Medicare$45.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$940$22.4K
    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…70$80$6K
    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…50$110$5.5K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…30$160$4.4K
    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…40$70$2.4K
    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$2K
    73700In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.30$60$1.9K
    J1040Injection, methylprednisolone acetate, 80 mg30$10$260
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$160
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$10$110

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744718832030$1,190$46.3K
    992146,30810,860100$80$13.6K
    8005363974050$10$6.9K
    992136,6139,69060$60$6.5K
    992041,4714,75030$110$5.2K
    0055T52020$180$5K
    8502564967040$10$4.9K
    364151,8001,92060$10$3.5K
    2061042279050$50$3.3K
    737005617020$50$1.9K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Vancouver Clinic Inc PsWAInternal Medicine Physician$0$28.2M
    The Vancouver Clinic Inc PsWAAmbulatory Surgical Clinic/Center$901.2K$2.9M
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Zheng QianWADermatology Physician$577.2K$0
    Michaelann LissWAHematology & Oncology Physician$516.3K$0
    Muksarin BohlingWAPhysician Assistant$513.7K$0
    Ashley LeeCADiagnostic Radiology Physician$378.1K$0
    Aaron AndersonUTFamily Medicine Physician$341.7K$0
    Erik VelezWADiagnostic Radiology Physician$229.4K$0
    Jonah ZwemerWADiagnostic Radiology Physician$183.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Salmon Creek HospitalWAGeneral Acute Care Hospital$0$48.7M
    Northwest Acute Care Specialists PCWAEmergency Medicine Physician$0$11.9M
    Legacy Salmon Creek HospitalWAClinic/Center$0$9.9M
    Wchs, Inc.WAMethadone Clinic$0$6.9M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$3.9M
    Joyce ChoeWAOphthalmology Physician$382K$0
    Randall HaradaWAInterventional Cardiology Physician$303.2K$0
    Lauren BoudreauxWADermatology Physician$168.9K$0
    Mayank AgrawalWAInterventional Cardiology Physician$141.4K$0
    Jason BoydWADermatology Physician$121.6K$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. Washington Distribution
    Casey Cornelius — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington