William Hale — Billing Profile & Reimbursement Data
NPI 1215917778 · Edmond, OK · Orthopaedic Surgery Physician
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William Hale is a orthopaedic surgery physician provider located in Edmond, Oklahoma. 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | William Hale |
| Address | 2017 W I 35 Frontage Rd |
| City | Edmond |
| State | OK |
| ZIP | 73013 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | January 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $126.3K |
| 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.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 430 | $60 | $25K |
| 27447 | In 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 | $910 | $20.1K |
| 27245 | In 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… | 20 | $930 | $13.9K |
| 27236 | In 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… | 20 | $910 | $13.6K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 30 | $400 | $10.3K |
| 20610 | In 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… | 210 | $50 | $9.4K |
| 99203 | The 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… | 140 | $70 | $8.8K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 20 | $440 | $6.6K |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,080 | $10 | $5.4K |
| 99204 | The 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 | $3.9K |
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 124 | 180 | 30 | $730 | $35.2K |
| 27245 | 23 | 40 | 20 | $810 | $14.5K |
| 27236 | 24 | 50 | 20 | $800 | $13.6K |
| 99213 | 451 | 5,450 | 80 | $50 | $8.7K |
| 29881 | 3 | 10 | 20 | $460 | $8.7K |
| J7318 | 11 | 20 | 1,380 | $10 | $8.6K |
| 29880 | 12 | 20 | 20 | $390 | $8.6K |
| 99204 | 1,473 | 2,790 | 40 | $100 | $5.8K |
| 20610 | 81 | 550 | 60 | $40 | $4.7K |
| 99222 | 445 | 1,130 | 30 | $90 | $4.6K |
Showing 1–10 of 19
Nearby Providers
Other providers in the same ZIP code as William Hale, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Specialty Care Pediatrics, Inc. | OK | Home Health Agency | $0 | $44.8M |
| Medical Resource Management, LLC | OK | Urgent Care Clinic/Center | $0 | $14.9M |
| Oklahoma Arthritis Center, P.C. | OK | Rheumatology Physician | $0 | $10.1M |
| Craig Carson | OK | Rheumatology Physician | $9.7M | $0 |
| Sand Lily Healthcare, Inc. | OK | In Home Supportive Care Agency | $0 | $8.9M |
| Christopher Fisher | OK | Internal Medicine Physician | $7.6M | $0 |
| Summit Medical Center | OK | General Acute Care Hospital | $0 | $7.1M |
| Brian Phelps | OK | Retina Specialist (Ophthalmology) Physician | $4.1M | $0 |
| Ana Kumar | OK | Rheumatology Physician | $4.1M | $0 |
| Sandeep Shah | OK | Retina Specialist (Ophthalmology) Physician | $3.9M | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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