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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNolan Malthesen
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    Nolan Malthesen — Billing Profile & Reimbursement Data

    NPI 1285823526 · Waco, TX · Orthopaedic Surgery Physician

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    Nolan Malthesen is a orthopaedic surgery physician provider located in Waco, Texas. 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
    OrganizationNolan Malthesen
    Address7125 New Sanger Avenue
    CityWaco
    StateTX
    ZIP76712
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 23, 2007

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

    Payer SourceTotal Paid
    Medicare$150.2K
    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
    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…30$960$30.8K
    J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose40$560$22.8K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…160$80$12.7K
    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…10$980$11.8K
    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…130$90$10.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$770$10K
    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…170$50$9K
    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…140$60$8.2K
    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…70$110$7.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$120$4.3K

    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
    2744734976030$900$38K
    2713038643020$890$26.7K
    J73274913030$550$23.3K
    2982716624020$860$19K
    9921415,06132,500110$80$17.6K
    992154,6638,73040$120$9.2K
    992138,93029,79070$60$8.4K
    206119457050$80$7.2K
    992043,91816,38030$110$5.6K
    206104952,48060$50$5.5K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eliot WickliffWIPain Medicine (Anesthesiology) Physician$319.6K$0
    Michele GroetzingerCOFamily Nurse Practitioner$178.3K$0
    Stephen StimsonTXSpecialist$143.1K$0
    Kelvin WilsonFLNeurological Surgery Physician$142.5K$0
    Robert WilcoxTXFamily Medicine Physician$92.8K$0
    Mitchell EichhornTXSurgery of the Hand (Plastic Surgery) Physician$92.5K$0
    Chad ConnerTXOrthopaedic Surgery Physician$84.1K$0
    Brian HoodOKNeurological Surgery Physician$81.1K$0
    Greg PalmTXSurgical Physician Assistant$55.9K$0
    Breanna BollarCOPhysician Assistant$24.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Ambulance Service IncTXAmbulance$5M$11.8M
    Hillcrest Baptist Medical CenterTXGeneral Acute Care Hospital$0$14.3M
    Ivan Castillo-salazarTXOphthalmology Physician$4.7M$0
    Waco Ambulatory Surgery Center, LPTXAmbulatory Surgical Clinic/Center$2.3M$0
    James MyattTXCardiovascular Disease Physician$770K$0
    Waco Gastroenterology Endoscopy Center LLCTXAmbulatory Surgical Clinic/Center$757.9K$0
    Rodney BrownTXCardiovascular Disease Physician$612.8K$0
    Pramila DaftaryTXSpecialist$181.1K$411.9K
    Shawn SkeenTXCardiovascular Disease Physician$435.3K$0
    Lisa KirkTXFamily Medicine Physician$364K$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
    Nolan Malthesen — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas