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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAbhijeet Kadam
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    Abhijeet Kadam — Billing Profile & Reimbursement Data

    NPI 1174999296 · Washington, PA · Orthopaedic Surgery Physician

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    Abhijeet Kadam is a orthopaedic surgery physician provider located in Washington, Pennsylvania. This profile covers 19 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
    OrganizationAbhijeet Kadam
    Address95 Leonard Ave Ste 500
    CityWashington
    StatePA
    ZIP15301
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 12, 2015

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

    Payer SourceTotal Paid
    Medicare$120K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$90$18.8K
    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$1,140$13.7K
    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…120$120$13.7K
    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…100$130$13.3K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$900$10.8K
    72110In 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.280$40$9.9K
    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$470$8K
    22513The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$370$7.8K
    22514The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$350$7.3K
    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…20$280$5.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612358020$1,280$29.5K
    27245239020$890$16K
    992141,57423,230100$80$14.5K
    226144010040$270$14.5K
    630474414020$490$14.3K
    992153197,17040$120$8.6K
    2251351020$400$8.3K
    2251431020$390$8.1K
    992133,46422,37070$60$7.7K
    206104021,98060$50$6.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hossein AmiraniKSCardiovascular Disease Physician$1.2M$0
    Newton Healthcare CorporationKSGeneral Acute Care Hospital$0$1.2M
    Shelley JonesKSInfectious Disease Physician$714.9K$0
    Mohamad FarhatKSCardiovascular Disease Physician$374.8K$0
    Amanda ValliantKSNephrology Physician$278.6K$0
    James PiggKSOrthopaedic Surgery Physician$265.7K$0
    Michael RitchieMTCardiovascular Disease Physician$204.1K$0
    Karla HostetlerKSNurse Practitioner$175.7K$0
    Samuel AkidivaKSInternal Medicine Physician$159K$0
    John HartKSFamily Medicine Physician$138.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Positive Recovery Solutions, LLCPAGeneral Practice Physician$0$29.2M
    The Care CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$19.5M
    Phoenix-washington, Inc. - Tdba Greenbriar Treatment CenterPASubstance Abuse Rehabilitation Facility$0$17.4M
    Gateway Rehabilitation CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$14.6M
    Trpil Community ServicesPAHome Health Agency$0$12.4M
    Upmc WashingtonPAGeneral Acute Care Hospital$0$11.2M
    Ambulance And Chair Ems, IncPALand Ambulance$904.2K$5.6M
    Abstinent Living At The Turning Point At Washington, IncPAAddiction (Substance Use Disorder) Counselor$0$5.9M
    E. Ronald Salvitti, M.d., Inc.PAAmbulatory Surgical Clinic/Center$986.7K$20.9K
    Guy AvolioPAEmergency Medicine Physician$558.1K$234.2K

    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. Pennsylvania Distribution
    Abhijeet Kadam — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania