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NPI 1265514459 · Orlando, FL · Orthopaedic Surgery Physician
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Nathan Hill is a orthopaedic surgery physician provider located in Orlando, Florida. This profile covers 29 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Nathan Hill |
| Address | 4125 Hunters Park Ln |
| City | Orlando |
| State | FL |
| ZIP | 32837 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | October 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $659.3K |
| Medicare | $155.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 1,600 | $20 | $32K |
| 99213 | The 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… | 350 | $70 | $22.8K |
| 99214 | The 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… | 210 | $90 | $19.3K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 910 | $20 | $14.5K |
| 20610 | In 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… | 220 | $50 | $10.2K |
| 99204 | The 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… | 90 | $120 | $9.9K |
| 36514 | Apheresis (also known as pheresis or therapeutic pheresis) is a medical procedure utilizing specialized equipment to remove selected blood constituents (plasma, leukocytes, platelets, or cells) from… | 20 | $420 | $6.7K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 870 | $10 | $6.1K |
| 97162 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 80 | $80 | $5.7K |
| 99203 | The 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… | 60 | $70 | $4.3K |
Showing 1–10 of 29
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 12,432 | 32,760 | 140 | $90 | $25K |
| 97110 | 944 | 3,870 | 690 | $20 | $21.6K |
| 64493 | 654 | 730 | 50 | $190 | $17K |
| 62323 | 526 | 580 | 50 | $170 | $14.8K |
| 99213 | 4,637 | 30,010 | 80 | $60 | $12K |
| 97140 | 533 | 3,020 | 290 | $20 | $9.1K |
| 27096 | 351 | 540 | 40 | $130 | $7.2K |
| 20610 | 515 | 2,830 | 60 | $50 | $7K |
| 99204 | 4,052 | 19,040 | 40 | $110 | $7K |
| 64494 | 517 | 600 | 50 | $90 | $6.5K |
Showing 1–10 of 29
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The 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… | 2,240 | $90 | $206.1K |
| 99213 | The 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… | 4,450 | $40 | $182.6K |
| 20610 | In 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… | 2,180 | $40 | $83K |
| 99214 | The 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… | 1,070 | $70 | $71.6K |
| 99204 | The 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… | 440 | $150 | $63.5K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2,220 | $10 | $31.1K |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 1,030 | $20 | $18.5K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 150 | $20 | $2.9K |
| A4927 | Gloves, non-sterile, per 100 | 1,710 | $1 | $1.7K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 40 | $20 | $660 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 955 | 5,930 | 460 | $40 | $169.3K |
| 99214 | The 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… | 2,161 | 6,380 | 430 | $50 | $139.3K |
| A4927 | Gloves, non-sterile, per 100 | 58 | 100 | 1,970 | $10 | $133.7K |
| 99204 | The 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… | 429 | 1,850 | 90 | $110 | $71.5K |
| 99203 | The 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… | 104 | 1,670 | 90 | $80 | $69.2K |
| J3490 | Unclassified drugs | 107 | 130 | 340 | $30 | $67.9K |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | 10 | 20 | 2,330 | $20 | $56.1K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 426 | 590 | 130 | $40 | $51.9K |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 25 | 80 | 750 | $10 | $27.6K |
| A4215 | Needle, sterile, any size, each | 4 | 10 | 200 | $20 | $25.3K |
Showing 1–10 of 17
Other providers in the same ZIP code as Nathan Hill, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sunapee Dialysis LLC | FL | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $9.9M |
| Childrenfirst Therapy Services, Inc. | FL | Occupational Therapist | $0 | $9.3M |
| Ethic Health Services, LLC | FL | Home Health Agency | $0 | $8.4M |
| Angels On Earth Ppec, Inc. | FL | Pediatric Skilled Nursing Facility | $0 | $8.4M |
| Amr Badawy | FL | Pain Medicine (Anesthesiology) Physician | $22.1K | $0 |
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