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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Apostolo
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    Paul Apostolo — Billing Profile & Reimbursement Data

    NPI 1295776730 · Baltimore, MD · Orthopaedic Surgery Physician

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    Paul Apostolo is a orthopaedic surgery physician provider located in Baltimore, Maryland. This profile covers 23 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
    OrganizationPaul Apostolo
    Address3449 Wilkens Ave
    CityBaltimore
    StateMD
    ZIP21229
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$185.4K
    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.

    23 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$1,100$37.4K
    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…360$70$24K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.50$360$17K
    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…20$1,110$16.6K
    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…140$100$14.1K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$720$10.8K
    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…120$80$9.2K
    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…80$120$8.9K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.240$30$7.7K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.210$30$6.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744713027030$1,500$72K
    2713014918030$1,430$56K
    29848235040$460$27K
    992145,20910,270150$90$24.1K
    26480102020$760$16.1K
    26055597030$340$15.5K
    992131,5519,280100$60$12.5K
    25447132020$620$11.8K
    2061052084070$50$7.6K
    992041,3375,38040$120$7.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Agnes Healthcare IncMDInternal Medicine Physician$0$11.5M
    Seton Medical Group, IncMDInternal Medicine Physician$0$5.9M
    St. Agnes Healthcare, Inc.MDGeneral Acute Care Hospital$0$5.4M
    Nasser Nasseri-aslMDSpecialist$1.2M$0
    St. Agnes Healthcare, Inc.MDClinical Medical Laboratory$147.4K$890.8K
    Richard HudesMDRadiation Oncology Physician$778.3K$0
    Sylwester DziubaMDRadiation Oncology Physician$686.4K$0
    Nina GordonMDDiagnostic Radiology Physician$496.6K$0
    Oliver ChenMDDiagnostic Radiology Physician$473.5K$0
    David StrobelMDDermatology Physician$464.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elite Healthcare Nursing Services, Inc.MDHome Health Agency$0$45.5M
    Time Organization, IncMDCommunity/Behavioral Health Agency$0$39.4M
    Compassionate Care Nursing ServicesMDHome Health Agency$0$36.6M
    Win Team, LLCMDCommunity/Behavioral Health Agency$0$21M
    Maryland Treatment Centers IncMDSubstance Abuse Rehabilitation Facility$0$19M
    Time Organization, IncMDRehabilitation Clinic/Center$0$13.8M
    National Pike Health CenterMDMental Health Counselor$0$13.2M
    Ats Of Cecil County, LLCMDMethadone Clinic$203.9K$12.8M
    Cep America LLCMDEmergency Medicine Physician$0$12M
    Time Organization, Inc.MDCommunity Health Clinic/Center$0$9.4M

    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. Maryland Distribution
    Paul Apostolo — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland