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    OpenPayerNPI Medicare & MedicaidMathias Daniels
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    Mathias Daniels — Billing Profile & Reimbursement Data

    NPI 1255599015 · Watsonville, CA · Orthopaedic Surgery of the Spine Physician

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    Mathias Daniels is a orthopaedic surgery of the spine physician provider located in Watsonville, California. This profile covers 16 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
    OrganizationMathias Daniels
    Address65 Neilson St
    CityWatsonville
    StateCA
    ZIP95076
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMay 29, 2008

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

    Payer SourceTotal Paid
    Medicare$195.8K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$1,410$35.2K
    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…480$70$32.3K
    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…180$130$23.4K
    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…200$100$19.6K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…30$600$15.5K
    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…80$200$15.4K
    22634In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The…40$370$14.4K
    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…20$580$14K
    22216The provider incises a vertebra, one of the interlocking bones in the spine, to remove portions of the bone, changing the alignment of the spinal column. This corrects an abnormal curvature in the…40$280$10.6K
    22800The provider performs arthrodesis, also known as spinal fusion, to secure different vertebrae to one another. This procedure helps to treat and alleviate persistent pain caused by various spinal…10$540$7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    226331610020$1,060$23.3K
    9921413,20337,970120$90$23.2K
    22214166020$440$13.8K
    992133,45634,66080$70$13.2K
    22216285040$190$12.9K
    2263462030$270$11.4K
    228425122020$450$9K
    2280051020$440$8K
    9920495419,36040$120$7.2K
    228533332030$150$6.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reedley Community HospitalCARural Health Clinic/Center$0$138.4M
    Kaweah Delta Health Care DistrictCAGeneral Acute Care Hospital$0$83.2M
    Kaweah Delta Health Care DistrictCARural Health Clinic/Center$0$68.9M
    Reedley Community HospitalCARural Health Clinic/Center$0$38.6M
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Reedley Community HospitalCARural Health Clinic/Center$0$24.1M
    Reedley Community HospitalCARural Health Clinic/Center$0$22.7M
    Hosea BrownCAAllergy Physician$71.7K$6.6M
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Salud Para La GenteCAFederally Qualified Health Center (FQHC)$0$97.2M
    Salud Para La GenteCAFederally Qualified Health Center (FQHC)$0$87.4M
    County Of Santa CruzCAFederally Qualified Health Center (FQHC)$0$76.8M
    Watsonville Hospital CorporationCAGeneral Acute Care Hospital$0$23M
    Francis BayacaCAFamily Medicine Physician$533.4K$0
    Ariel MartinezCAFamily Medicine Physician$306K$174.8K
    Jeffrey SolinasCAFamily Medicine Physician$457.4K$0
    Christopher O'gradyCAGeriatric Medicine (Family Medicine) Physician$326.8K$0
    Janus Of Santa CruzCAMethadone Clinic$304K$0
    Robert WeberCAFamily Medicine Physician$249.2K$8.2K

    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. California Distribution
    Mathias Daniels — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California