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 & MedicaidBrian Chalmers
    Ask Trek AI about this page

    Brian Chalmers — Billing Profile & Reimbursement Data

    NPI 1295141539 · New York, NY · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Brian Chalmers — 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.

    Brian Chalmers is a orthopaedic surgery physician provider located in New York, New York. This profile covers 13 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
    OrganizationBrian Chalmers
    Address535 E 70th St
    CityNew York
    StateNY
    ZIP10021
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 8, 2014

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

    Payer SourceTotal Paid
    Medicare$501.4K
    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.

    13 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…140$1,210$164.8K
    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…120$1,210$144.2K
    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…310$140$43.9K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…270$140$37.1K
    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…280$110$30.3K
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…20$1,590$27K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…20$1,070$16.1K
    99205The provider sees a new 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 provider…70$180$12.9K
    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…130$80$9.6K
    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$150$6.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274471548030$1,120$43.7K
    271301035030$1,120$40.3K
    2748731010$1,370$21.9K
    992146,24930,45090$100$19K
    2744651020$980$14.7K
    9921311,33131,44080$70$12.1K
    992153,6758,28040$140$10.1K
    20985110040$140$9.1K
    206107081,87060$60$7K
    992046714,17030$130$6.6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pantelis PavlakisNYNeurology Physician$1.1M$0
    Amar RanawatNYAdult Reconstructive Orthopaedic Surgery Physician$513K$0
    William LongNYAdult Reconstructive Orthopaedic Surgery Physician$438.9K$730
    Jason BlevinsNYOrthopaedic Surgery Physician$431K$0
    Matthew AustinNYAdult Reconstructive Orthopaedic Surgery Physician$392.6K$0
    Peter SculcoNYAdult Reconstructive Orthopaedic Surgery Physician$357.4K$0
    Alexander MclawhornNYOrthopaedic Surgery Physician$347.1K$0
    Gwo-chin LeeNYOrthopaedic Surgery Physician$342.8K$780
    Alexander ShtilbansNYNeurology Physician$325K$0
    Michael AstNJOrthopaedic Surgery Physician$305.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lenox Hill Radiology & Medical Imaging Associates, PCNYDiagnostic Radiology Physician$0$145.7M
    Manhattan Home Care LtdNYHome Health Agency$0$27.3M
    New York Society For The Relief Of Ruptured & Crippled MaintainingNYGeneral Acute Care Hospital$0$20.4M
    Ru-ik CheeNYSurgery Physician$1M$2M
    Szilard KissNYRetina Specialist (Ophthalmology) Physician$2.1M$910.2K
    Jennifer KrawitzNYOphthalmology Physician$2.9M$0
    Daniel RosbergerNYSpecialist$2.7M$4.7K
    Kenneth WaldNYOphthalmology Physician$1.5M$824.9K
    Roger PearseNYMedical Oncology Physician$2.2M$1.6K
    Michael NissenNYOphthalmology Physician$2.1M$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. New York Distribution
    Brian Chalmers — 4 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York