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    OpenPayerNPI Medicare & MedicaidNeil O'malley
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    Neil O'malley — Billing Profile & Reimbursement Data

    NPI 1225055858 · Hagerstown, MD · Neurological Surgery Physician

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    Neil O'malley is a neurological surgery physician provider located in Hagerstown, Maryland. This profile covers 10 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
    OrganizationNeil O'malley
    Address17 Western Maryland Pkwy
    CityHagerstown
    StateMD
    ZIP21740
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJuly 17, 2006

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

    Payer SourceTotal Paid
    Medicare$77.7K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$810$19.4K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…10$1,450$17.4K
    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…100$100$9.7K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…10$690$7.6K
    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…60$120$7.3K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$190$4.8K
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…20$210$4.2K
    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…50$60$3K
    63052At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.10$210$2.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$110$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685143020$10,020$240.5K
    6365551010$5,740$86.1K
    22633395020$1,110$26.5K
    992146,19810,270150$90$24.1K
    630475111020$620$16.8K
    992136,4889,280100$60$12.5K
    22853628040$160$8.4K
    992041,8525,38040$120$7.3K
    992221,6382,26030$100$4.8K
    63052304020$160$3.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Neil O'malley, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter CampbellLANeurological Surgery Physician$839K$0
    Michael DemarcoMDPhysical Medicine & Rehabilitation Physician$335.8K$0
    Thomas LarkinMDPain Medicine (Anesthesiology) Physician$215.3K$0
    Rehan WaheedVAPain Medicine (Physical Medicine & Rehabilitation) Physician$181.7K$0
    John CarusoMDNeurological Surgery Physician$107.8K$0
    Ali KhawajaMDPhysical Medicine & Rehabilitation Physician$106.2K$0
    Kristen KivlenVTPhysician Assistant$48.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Neil O'malley, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. David M. Vieth 2, P.C.MDGeneral Practice Dentistry$0$77.8M
    Potomac Case Management Services, Inc.MDCase Management Agency$0$28M
    Phoenix Health Center LLCMDMethadone Clinic$507.7K$21.4M
    Awakenings Recovery Center, LLCMDSubstance Abuse Rehabilitation Facility$0$19.8M
    Qualitycare Internet, LLPMDMental Health Counselor$0$19.4M
    Walnut Street Community Health Center, Inc.MDFederally Qualified Health Center (FQHC)$0$19.3M
    Board Of Education Of Washington CountyMDLocal Education Agency (LEA)$0$19.1M
    Center For Pain Management, LLCMDInterventional Pain Medicine Physician$0$18.9M
    Metro Treatment Of Maryland LPMDCommunity/Behavioral Health Agency$361K$16.6M
    The Western Maryland Counseling CenterMDCommunity/Behavioral Health Agency$0$16.5M

    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. Maryland Distribution
    Neil O'malley — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland