Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidArthur Sharkey
    Ask Trek AI about this page

    Arthur Sharkey — Billing Profile & Reimbursement Data

    NPI 1245236066 · Gainesville, FL · Surgery of the Hand (Plastic Surgery) Physician

    Customize your policy alerts

    Sign up for Arthur Sharkey — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Arthur Sharkey is a surgery of the hand (plastic surgery) physician provider located in Gainesville, Florida. This profile covers 29 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationArthur Sharkey
    Address4500 W Newberry Rd
    CityGainesville
    StateFL
    ZIP32607
    TaxonomySurgery of the Hand (Plastic Surgery) Physician
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicare$236.3K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…660$60$41.5K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…40$660$23.6K
    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…70$250$18.3K
    25609The 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…20$810$17.8K
    73140In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.550$30$14.2K
    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…90$150$13.3K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…30$430$10.7K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…40$300$10.6K
    26496In this procedure, the provider performs opponensplasty, a surgical procedure in which the provider transfers a tendon to restore the opposition function of the thumb. Thumb opposition is the ability…10$710$8.5K
    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$670$8.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560996020$1,640$29.6K
    9921420,57132,760140$90$25K
    971103,6903,870690$20$21.6K
    140407416020$580$21.5K
    647212819030$420$17.8K
    2648085020$590$15.9K
    260553021030$310$15K
    26123183010$870$14K
    2654021020$620$13K
    2544799020$570$12.6K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ajay AntonyFLInterventional Pain Medicine Physician$823.9K$0
    Christopher KeenFLOrthopaedic Surgery Physician$723.3K$0
    Lloyd KimFLEmergency Medicine Physician$581.9K$0
    Andrew PetrellaFLOrthopaedic Surgery Physician$548.9K$0
    Vijay BabuFLInterventional Pain Medicine Physician$543.8K$0
    Jason KeyFLSports Medicine (Family Medicine) Physician$491.6K$0
    John StevensonFLNeurological Surgery Physician$423.2K$0
    Michael SilversteinFLOrthopaedic Surgery of the Spine Physician$391.3K$0
    Douglas AdolphsonFLDiagnostic Radiology Physician$389.7K$0
    Lindsay FlynnFLOrthopaedic Hand Surgery Physician$369.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nursecore Management Services, LLCFLHome Health Agency$0$13.3M
    Einstein Therapy Center, Inc.FLSpeech-Language Pathologist$0$8.9M
    Michael ParrottFLRetina Specialist (Ophthalmology) Physician$4.4M$0
    Gainesville Fl Orthopaedic Asc LLCFLAmbulatory Surgical Clinic/Center$2.8M$0
    Kaushik HazariwalaFLOphthalmology Physician$2.2M$0
    Christine KayFLOphthalmology Physician$1.8M$0
    Anthony AulisioFLDermatology Physician$947.7K$0
    Donald ScottFLRheumatology Physician$742.1K$0
    Scott KoppelFLPodiatrist$718.2K$0
    Thomas JohnsonFLAllergy & Immunology Physician$631.3K$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. Florida Distribution
    Arthur Sharkey — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida