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    OpenPayerNPI Medicare & MedicaidDavid Macias
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    David Macias — Billing Profile & Reimbursement Data

    NPI 1326282427 · Alexandria, VA · Orthopaedic Surgery Physician

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    David Macias is a orthopaedic surgery physician provider located in Alexandria, Virginia. This profile covers 12 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
    OrganizationDavid Macias
    Address1920 Ballenger Ave
    CityAlexandria
    StateVA
    ZIP22314
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 21, 2009

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

    Payer SourceTotal Paid
    Medicare$61.8K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…350$80$26.6K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.240$30$7.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.250$30$7.1K
    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…60$100$6.2K
    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…50$80$4K
    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…30$120$3.2K
    73600In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle.90$30$2.5K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.60$30$1.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$30$1.1K
    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.30$30$830

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,14212,890140$80$21K
    992131,57112,44090$60$10K
    992044,2886,85040$110$5.9K
    992031,6924,92030$70$3.8K
    7356441872050$30$2.2K
    7350285394040$20$1.6K
    736306989040$20$1.6K
    7313041659030$20$890
    736203316030$20$830
    7311029357030$20$820

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David RomnessVAOrthopaedic Surgery Physician$421K$0
    Danielle CherrickVAPhysical Medicine & Rehabilitation Physician$304.7K$0
    Thomas MartinelliVAOrthopaedic Surgery Physician$296.7K$0
    George AguiarVAOrthopaedic Surgery Physician$296.2K$0
    Behrang MazaheryVAOrthopaedic Surgery Physician$291.7K$0
    William PetersenVAOrthopaedic Surgery Physician$282.5K$0
    Steven HughesVAOrthopaedic Surgery Physician$263.8K$0
    David NovakVAOrthopaedic Surgery Physician$202.9K$0
    William MookVAOrthopaedic Surgery Physician$201K$0
    Ronald ChildsVAOrthopaedic Surgery Physician$187.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carlos A. Cruz, Md, PCVAPediatrics Physician$0$5.6M
    City Of AlexandriaVAAmbulance$967.2K$1.4M
    Lori AlexanderVAPhysical Therapist$146.9K$0
    Richard LeeVAFoot & Ankle Surgery Podiatrist$143.5K$0
    Ogechi OnwudiweVADermatology Physician$98.1K$0
    John CharalambopoulosVAInternal Medicine Physician$88.6K$0
    David WeintrittVASurgery Physician$76.4K$0
    Christina SmithVAPhysical Therapist$70.6K$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. Virginia Distribution
    David Macias — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia