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    OpenPayerNPI Medicare & MedicaidJohn Hamilton
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    John Hamilton — Billing Profile & Reimbursement Data

    NPI 1235191248 · Fairfax, VA · Neurological Surgery Physician

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    John Hamilton is a neurological surgery physician provider located in Fairfax, Virginia. This profile covers 22 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
    OrganizationJohn Hamilton
    Address8081 Innovation Park Dr Ste 900
    CityFairfax
    StateVA
    ZIP22031
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 5, 2006

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

    Payer SourceTotal Paid
    Medicare$310.5K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…400$90$34.8K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…100$360$34.4K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,340$30.7K
    61312Hematoma is an unusual collection of blood outside the blood vessels due to internal hemorrhage. Subdural or extradural hematoma is caused by head injuries, and it is a life–threatening condition.…10$1,790$25K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…40$690$24.9K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$940$22.6K
    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$1,670$20K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$660$19.1K
    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…60$230$13.1K
    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…110$120$12.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22514162020$2,360$47.3K
    22633475020$980$23.5K
    6131211010$1,690$21.9K
    992142,66412,890140$80$21K
    22612206020$830$18.2K
    22558123020$650$16.9K
    22614158050$220$13.8K
    630478811020$470$11.8K
    6305611010$820$11.5K
    992322,0234,46080$60$11K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$176.6M
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$69M
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$46.9M
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$39.3M
    Inova Health Care ServicesVAInternal Medicine Physician$0$38M
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$33.5M
    Inova Health Care ServicesVAClinical Medical Laboratory$5.4M$6.8M
    Fairfax Radiological ConsultantsVASpecialist$0$10.8M
    Inova Health Care ServicesVAPhysical Therapist$0$8.9M
    Inova Health Care ServicesVAMagnetic Resonance Imaging (MRI) Clinic/Center$1.6M$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Kind & Caring Home Care,llcVAHome Health Agency$0$35.7M
    Alpha Home Care Services LLCVAHome Health Agency$0$32.2M
    Community Living Alternatives, Corp.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$31M
    Gateway Healthcare Services LLCVAHome Health Agency$0$22.1M
    Praise Home Health Services, IncVAHome Health Agency$0$22M
    Grace Home Healthcare, LLCVAHome Health Agency$0$20.5M
    Aloha Home Healthcare Services,llcVAHome Health Agency$0$13.1M
    Precious Care At Home Services IncVAHome Health Aide$0$12.5M
    Pediatric Specialists Of Virginia, LLCVAPediatrics Physician$0$11.3M
    Dignity Home Care LLCVAIn Home Supportive Care Agency$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. Virginia Distribution
    John Hamilton — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia