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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Courtney
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    Paul Courtney — Billing Profile & Reimbursement Data

    NPI 1225329972 · Bensalem, PA · Orthopaedic Surgery Physician

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    Paul Courtney is a orthopaedic surgery physician provider located in Bensalem, Pennsylvania. This profile covers 23 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
    OrganizationPaul Courtney
    Address3300 Tillman Dr Fl 2
    CityBensalem
    StatePA
    ZIP19020
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 29, 2011

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

    Payer SourceTotal Paid
    Medicare$425.9K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…80$1,080$82.8K
    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…50$1,100$57.1K
    27134In this procedure, the provider removes a previously implanted artificial hip joint or prosthesis and replaces it with a new prosthesis. He replaces both the femoral and acetabular components. He may…40$1,530$53.7K
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…40$1,430$51.6K
    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…320$100$33.4K
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg3,130$10$21.9K
    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…290$60$17.3K
    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…130$130$17K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…10$980$13.8K
    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…90$150$13.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274477354030$930$41K
    271306336030$950$31.3K
    J7329521103,020$10$29.7K
    2713411020$1,400$26.6K
    27446152020$1,000$19K
    2748712010$1,050$16.8K
    992143,79523,230100$80$14.5K
    2749521020$520$12.9K
    992151,5117,17040$120$8.6K
    992235,7287,02040$130$7.8K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mitesh PatelNJSports Medicine (Family Medicine) Physician$785K$0
    Andrew StarPAOrthopaedic Surgery Physician$674.8K$0
    Craig RubensteinPASports Medicine (Emergency Medicine) Physician$616.9K$0
    Fabio OrozcoNJOrthopaedic Surgery Physician$608.6K$0
    Gregg KleinNJOrthopaedic Surgery Physician$594.9K$0
    Alvin OngNJOrthopaedic Surgery Physician$570K$0
    Sunny GuptaNJSports Medicine (Family Medicine) Physician$560.7K$0
    Eric LevicoffPAOrthopaedic Surgery Physician$537.7K$0
    David RodricksNJAdult Reconstructive Orthopaedic Surgery Physician$531.5K$0
    David NazarianNJOrthopaedic Surgery Physician$530.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic Diagnostic Laboratories, LLC.PAClinical Medical Laboratory$1.5M$87.1M
    Brett Dinovi & Associates PA LLCPABehavior Analyst$0$74.8M
    Bright Medical Technology IncPACommunity/Retail Pharmacy$0$47.4M
    Dynamic Home Health Care, IncPAHome Health Agency$0$25.9M
    Brotherston Homecare, Inc.PADurable Medical Equipment & Medical Supplies$0$16.4M
    Warwick Family Based Program IncPACommunity/Behavioral Health Agency$0$14.7M
    Preferred Home Health Care & Nursing Services Inc.PAHome Health Agency$0$14M
    Livengrin Foundation, Inc.PACommunity/Behavioral Health Agency$0$13.9M
    Parkway Clinical Laboratories, Inc.PAClinical Medical Laboratory$270.9K$7.6M
    Contour Medical Supply IncPADurable Medical Equipment & Medical Supplies$0$7.5M

    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. Pennsylvania Distribution
    Paul Courtney — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania