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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Polivy
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    Kenneth Polivy — Billing Profile & Reimbursement Data

    NPI 1194794115 · Newton, MA · Orthopaedic Surgery Physician

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    Kenneth Polivy is a orthopaedic surgery physician provider located in Newton, Massachusetts. This profile covers 21 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
    OrganizationKenneth Polivy
    Address2000 Washington St
    CityNewton
    StateMA
    ZIP02462
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicare$161.1K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).200$260$51.9K
    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…310$100$30.5K
    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…370$70$27.5K
    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…90$90$7.9K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.270$30$7.2K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose20$400$6.8K
    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…110$60$6.6K
    J1030Injection, methylprednisolone acetate, 40 mg880$10$5.3K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…30$100$3.3K
    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…110$20$2.2K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7326364040$400$16.9K
    992142,72115,410110$80$15.6K
    644831417040$180$14.1K
    992131,21513,70070$60$8.8K
    2061029598060$50$5.8K
    992036854,29030$80$4.1K
    77080283350100$20$3.8K
    644844010030$70$3.6K
    7356422553050$20$2K
    7211411020$30$1.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abraham KimCAAdult Reconstructive Orthopaedic Surgery Physician$338.6K$0
    Joseph KavolusMAOrthopaedic Surgery Physician$306.9K$0
    Daniel QuinnMAOrthopaedic Surgery Physician$232.9K$0
    Alfred HanmerMAOrthopaedic Surgery Physician$220.8K$0
    Daniel BanaszekMAOrthopaedic Surgery Physician$138.3K$0
    Nicky LeungMASurgery of the Hand (Surgery) Physician$135K$0
    Jennifer GreenMASurgery of the Hand (Surgery) Physician$128.2K$0
    Wajdi KanjMASurgery of the Hand (Surgery) Physician$107.6K$0
    Arthur LeeMAPain Medicine (Physical Medicine & Rehabilitation) Physician$106.5K$0
    Matthew MessinaMAOrthopaedic Surgery Physician$91.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newton-wellesley HospitalMAGeneral Acute Care Hospital$0$36.3M
    Richard CurtisMAGastroenterology Physician$431.7K$0
    Jill SmithMAOphthalmology Physician$337.6K$0
    David JonesMADermatology Physician$307.1K$0
    Brian SaltzmanMAUrology Physician$303.6K$0
    Marc LeiboleMAOphthalmology Physician$300.1K$0
    Ned SaltzmanMAUrology Physician$275.9K$0
    John LongMAUrology Physician$247.3K$0
    Michael RossMAAnatomic Pathology & Clinical Pathology Physician$108.3K$137.3K
    Stefanos ParposMACardiovascular Disease Physician$231.3K$830

    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
    Kenneth Polivy — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts