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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMartha Jefferson Hospital
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    Martha Jefferson Hospital — Billing Profile & Reimbursement Data

    NPI 1225452303 · Charlottesville, VA · Ambulatory Surgical Clinic/Center

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    Martha Jefferson Hospital is a ambulatory surgical clinic/center provider located in Charlottesville, Virginia. This profile covers 14 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 TypeOrganization
    OrganizationMartha Jefferson Hospital
    Address595 Martha Jefferson Dr
    CityCharlottesville
    StateVA
    ZIP22911
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 11, 2014

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

    Payer SourceTotal Paid
    Medicare$370.8K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…40$1,590$58.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$2,350$51.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…80$620$50.4K
    25607The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes the…10$3,300$43K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$1,410$29.7K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…60$470$27K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.30$750$20.9K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$1,470$17.7K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$970$14.6K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…10$1,020$13.3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67042132020$1,130$33.8K
    298272112020$1,010$29.2K
    2560771020$1,820$27.3K
    29828114020$970$26.2K
    67108152020$1,180$23.5K
    19301377030$530$18.5K
    26123122020$830$16.5K
    25447264020$580$15.6K
    6472199030$420$15.4K
    29881233020$780$14.9K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martha Jefferson HospitalVAGeneral Acute Care Hospital$0$26.9M
    Christopher VoneltenVAFamily Medicine Physician$92.2K$164.2K
    Michael SantulliVAEndocrinology, Diabetes & Metabolism Physician$151.9K$0
    Michael BaylorVAEmergency Medicine Physician$112.6K$5.6K

    Nearby Providers

    Other providers in the same ZIP code as Martha Jefferson Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Compass Youth ServicesVACommunity/Behavioral Health Agency$0$63.5M
    Addiction Recovery Systems LLCVAMethadone Clinic$127.5K$11.5M
    Children's Dentistry Of Charlottesville, P.C.VADentist$0$11M
    Mohit NandaVARetina Specialist (Ophthalmology) Physician$4.6M$0
    Jacob MeyerVARetina Specialist (Ophthalmology) Physician$3.8M$0
    Scott ChirichettiVAPain Medicine Physician$1.1M$0
    Stephen VanceVAMOHS-Micrographic Surgery Physician$924.6K$0
    Vandana NandaVAMOHS-Micrographic Surgery Physician$912.2K$0
    Richard MessingerVAPain Medicine Physician$489.7K$0

    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. Virginia Distribution
    Martha Jefferson Hospital — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia