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    OpenPayerNPI Medicare & MedicaidAndrew Blackman
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    Andrew Blackman — Billing Profile & Reimbursement Data

    NPI 1295998771 · Great Falls, MT · Sports Medicine (Orthopaedic Surgery) Physician

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    Andrew Blackman is a sports medicine (orthopaedic surgery) physician provider located in Great Falls, Montana. This profile covers 10 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
    OrganizationAndrew Blackman
    AddressGreat Falls Clinic
    CityGreat Falls
    StateMT
    ZIP59405
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJuly 6, 2008

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

    Payer SourceTotal Paid
    Medicare$148.5K
    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.

    10 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…70$970$66.2K
    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…40$1,010$35.2K
    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$10.6K
    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$120$8.1K
    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…100$80$7.8K
    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…100$80$7.8K
    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…80$90$7.5K
    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…70$50$3.9K
    J1040Injection, methylprednisolone acetate, 80 mg170$10$1.4K
    J1030Injection, methylprednisolone acetate, 40 mg20$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447248040$1,080$60.6K
    27130325040$1,150$54.1K
    992141,0211,810100$70$12.4K
    992134231,73090$50$7.2K
    2061162050$60$5.2K
    9920413878030$100$4.8K
    206107821040$40$3.3K
    992036970030$70$3.1K
    J104094070$10$960
    J1030293060$10$360

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Great Falls Clinic LLCMTMulti-Specialty Clinic/Center$0$11.2M
    Cmsc, LLCMTGeneral Acute Care Hospital$0$2.6M
    Brandon MccaffertyMNOphthalmology Physician$1.2M$0
    Thucanh MultererPARetina Specialist (Ophthalmology) Physician$862.9K$139.4K
    Ryan O'haraUTVascular & Interventional Radiology Physician$892.2K$0
    Camtu JonesCORadiation Oncology Physician$690.9K$0
    Laura LennonNYCardiovascular Disease Physician$502.9K$34.3K
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Brian WegmanMOOrthopaedic Surgery Physician$348.9K$0
    James HaugCODiagnostic Radiology Physician$326.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Benefis Hospitals IncMTMulti-Specialty Clinic/Center$0$38.2M
    Great Falls Public SchoolsMTLocal Education Agency (LEA)$0$15M
    Great Falls Pediatric Dentistry, LLCMTPediatric Dentistry$0$14.9M
    Benefis Community Care, Inc.MTCase Management Agency$0$13.2M
    Easterseals-goodwill Northern Rocky Mountain, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$7.4M
    Levi C Maltby Dmd P.C.MTDentist$0$6M
    Great Falls Emergency Services IncMTLand Ambulance$842.6K$4.4M
    Benefis Hospitals, Inc.MTAir Ambulance$0$5.2M
    Easterseals Goodwill N. Rocky MtnMTDevelopmentally Disabled Services Day Training Agency$0$3.7M
    Benefis Hospitals, Inc.MTGeneral Acute Care Hospital$0$3.5M

    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. Montana Distribution
    Andrew Blackman — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana