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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTheodore Crofford
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    Theodore Crofford — Billing Profile & Reimbursement Data

    NPI 1265473466 · Fort Worth, TX · Adult Reconstructive Orthopaedic Surgery Physician

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    Theodore Crofford is a adult reconstructive orthopaedic surgery physician provider located in Fort Worth, Texas. This profile covers 11 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
    OrganizationTheodore Crofford
    Address6301 Harris Pkwy Ste 300
    CityFort Worth
    StateTX
    ZIP76132
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$174.7K
    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.

    11 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…90$980$84.5K
    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…60$980$58K
    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…170$60$10.1K
    99203The provider sees a new 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 provider…110$70$8.2K
    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…90$40$3.5K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.110$30$3.5K
    72190In this procedure, the provider takes a minimum three X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvic area.100$30$3.1K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…70$20$1.3K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$30$1.2K
    73522In this diagnostic procedure, the provider takes three to four X–ray images of both hips, left and right, from different projections (directions or angles) to check for fracture, swelling, or other…20$40$1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274478076030$900$38K
    271303643020$890$26.7K
    992137,77629,79070$60$8.4K
    206108942,48060$50$5.5K
    7700213456030$70$5.5K
    992031,08610,82030$70$3.4K
    735642931,08050$30$2.5K
    735629531,93040$20$1.4K
    7219097020$30$1.1K
    735227226020$30$670

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Health Physicians GroupTXClinical Medical Laboratory$5.1M$7K
    Anita TharianTXMedical Oncology Physician$938.6K$0
    Tony DasTXInterventional Cardiology Physician$845.2K$0
    Mandar JoshiTXDiagnostic Radiology Physician$740.2K$0
    John BarringtonTXAdult Reconstructive Orthopaedic Surgery Physician$568.1K$0
    Tulika JainTXCardiovascular Disease Physician$556.2K$0
    Shane StoneTXFamily Medicine Physician$531.1K$0
    Patrick KeehanTXDermatology Physician$446.8K$0
    Brian LeTXClinical Cardiac Electrophysiology Physician$439.6K$0
    Matthew DicksonTXCardiovascular Disease Physician$385K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Corinthian Reference Lab LLCTXClinical Medical Laboratory$666.9K$1.2M
    Jerry BarkerTXRadiation Oncology Physician$1.7M$0
    Bellaire Outpatient Surgery Center, LLPTXAmbulatory Surgical Clinic/Center$1.3M$0
    Fort Worth Endoscopy Centers, LLCTXAmbulatory Surgical Clinic/Center$1.1M$0
    Cityview Surgery Center LLCTXAmbulatory Surgical Clinic/Center$985.3K$0
    Texas Health Surgery Center Chisholm Trail, LLCTXAmbulatory Surgical Clinic/Center$855.9K$0
    John MckenzieTXPhysical Therapist$742.6K$1.2K
    Health Imaging Partners LLCTXPhysiological Laboratory$640.5K$2.7K
    Fort Worth Surgical Center LPTXAmbulatory Surgical Clinic/Center$612.7K$0
    Patrick DonovanTXPhysical Medicine & Rehabilitation Physician$559.5K$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. Texas Distribution
    Theodore Crofford — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas