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    OpenPayerNPI Medicare & MedicaidMichael Blackmer
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    Michael Blackmer — Billing Profile & Reimbursement Data

    NPI 1194141333 · Foley, AL · Adult Reconstructive Orthopaedic Surgery Physician

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    Michael Blackmer is a adult reconstructive orthopaedic surgery physician provider located in Foley, Alabama. This profile covers 27 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
    OrganizationMichael Blackmer
    Address1711 N Mckenzie St Ste 100
    CityFoley
    StateAL
    ZIP36535
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedMarch 12, 2014

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

    Payer SourceTotal Paid
    Medicare$239K
    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.

    27 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…740$90$63.3K
    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…40$960$35.3K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$920$33.1K
    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…240$100$24.3K
    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…260$50$11.5K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$880$10.5K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.360$30$9.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…260$30$8.4K
    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…130$60$7.9K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose20$390$7.7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475721030$710$23.4K
    J7326264030$410$17K
    992143897,330120$80$16.8K
    271302111020$620$16.8K
    27236233010$600$8.3K
    992132,1896,47080$50$7.9K
    206117513050$70$6.3K
    206106860060$50$5.1K
    99204163,75030$100$4.8K
    0055T11020$110$2.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Munson Medical CenterMIGeneral Acute Care Hospital$0$44.1M
    Lakeland Medical PracticesMIInternal Medicine Physician$0$20.9M
    The Orthopaedic Group, PCALSpecialist$0$1.4M
    Vanna EslavaALFamily Nurse Practitioner$391.6K$0
    Eric ManciniFLOrthopaedic Surgery Physician$282K$0
    James MackenzieMIPhysical Medicine & Rehabilitation Physician$204.4K$0
    Robert BairdALOrthopaedic Surgery Physician$200.3K$0
    Charles WilsonALSports Medicine (Orthopaedic Surgery) Physician$199.7K$0
    Michael EslavaALSports Medicine (Orthopaedic Surgery) Physician$191.1K$0
    Stephen AndrieseMIPhysical Medicine & Rehabilitation Physician$185K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gary A. Eberly, Md PCALPediatrics Physician$0$5.5M
    South Baldwin Childrens Center PCALPediatrics Physician$0$4.6M
    Foley Hospital Company LLCALGeneral Acute Care Hospital$0$4.5M
    Sea Smiles, LLCALPediatric Dentistry$0$2.1M
    Foley Emergency Physicians, LLCALEmergency Medicine Physician$0$1.6M
    South Baldwin Dental AssociatesALGeneral Practice Dentistry$0$1.6M
    Emerald Sands Medical CenterALPrimary Care Clinic/Center$0$1.2M
    Gulf Coast Counseling ServicesALAddiction (Substance Use Disorder) Counselor$0$1.1M
    Samuel TownsleyALGeneral Practice Dentistry$0$848.8K
    Med-trans CorporationALAir Ambulance$423.5K$49K

    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. Alabama Distribution
    Michael Blackmer — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama