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    OpenPayerNPI Medicare & MedicaidT Joseph Spires
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    T Joseph Spires — Billing Profile & Reimbursement Data

    NPI 1326303603 · New Albany, IN · Foot & Ankle Surgery Podiatrist

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    T Joseph Spires is a foot & ankle surgery podiatrist provider located in New Albany, Indiana. 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
    OrganizationT Joseph Spires
    Address1919 State St
    CityNew Albany
    StateIN
    ZIP47150
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJuly 11, 2012

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

    Payer SourceTotal Paid
    Medicare$58.4K
    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.

    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…330$60$20.6K
    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…160$80$11.9K
    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…70$100$6.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.200$20$3.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$60$3.2K
    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…30$110$3.1K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$60$2.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$2.1K
    28820In this procedure, the provider amputates the toe at the metatarsophalangeal joint. The metatarsophalangeal joint is the joint between the first metatarsal of the foot and the first phalanx of the…20$130$1.9K
    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.70$20$1.4K

    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
    992146,60310,540110$80$15.5K
    992322,5163,97090$60$11.8K
    992131,10110,82080$50$7.6K
    992042,6244,69030$100$4.9K
    992031343,49030$70$3.1K
    2882051020$110$2.1K
    992126972,36030$30$2.1K
    992216350020$60$1.6K
    2055017321030$30$1.6K
    736305768040$20$1.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Medical Group IncKYUrgent Care Clinic/Center$0$26.7M
    Bapineedu GondiINCardiovascular Disease Physician$488.9K$0
    Natalie LaneINFamily Nurse Practitioner$367.5K$0
    Tracy EicherOHNeurology Physician$350.1K$0
    Matthew KeithKYInterventional Cardiology Physician$348K$0
    Srinivasarao ManchikalapudiINInterventional Cardiology Physician$329.1K$0
    Shanker ChandiramaniKYCardiovascular Disease Physician$327.3K$0
    Martin CerdaAZCardiovascular Disease Physician$319.3K$0
    William VanciseOHRadiation Oncology Physician$317.7K$0
    John MandrolaKYClinical Cardiac Electrophysiology Physician$308.6K$0

    Nearby Providers

    Other providers in the same ZIP code as T Joseph Spires, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, Inc.INGeneral Acute Care Hospital$0$34.6M
    Nassim And Associates, PscINSpecialist$0$13.8M
    Ohio Valley Medex IncINHome Health Agency$0$13.5M
    Rauch Inc.INEarly Intervention Provider Agency$0$13.3M
    Volunteers Of America Of Kentucky IncINVoluntary or Charitable Agency$0$11.6M
    Physicians Medical Center LLCINGeneral Acute Care Hospital$0$11.4M
    Lifespan ResourcesINCase Management Agency$0$10.7M
    Floyd Emergency Medicine Associates PCINEmergency Medicine Physician$0$6.6M
    Kids Dentistry-new AlbanyINDental Clinic/Center$0$4.6M
    Adaptive Community Support Services IncINDevelopmentally Disabled Services Day Training Agency$0$4.1M

    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. Indiana Distribution
    T Joseph Spires — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana