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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Fuentes
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    Daniel Fuentes — Billing Profile & Reimbursement Data

    NPI 1336189562 · Lufkin, TX · Orthopaedic Surgery Physician

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    Daniel Fuentes is a orthopaedic surgery physician provider located in Lufkin, Texas. 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
    OrganizationDaniel Fuentes
    Address208 Gaslight Blvd
    CityLufkin
    StateTX
    ZIP75904
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$149K
    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
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg2,470$10$32.1K
    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…260$80$21.3K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose40$400$14.5K
    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…170$80$12.6K
    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…210$50$10.8K
    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…10$900$10.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$760$9.1K
    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$100$8.1K
    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.170$30$4.6K
    29876The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial…10$370$4.5K

    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
    2744772176030$900$38K
    J732211401,370$10$28.2K
    2982718824020$860$19K
    992148,32732,500110$80$17.6K
    J73264410030$400$15.9K
    992236,9249,99040$130$9.5K
    992136,09229,79070$60$8.4K
    206119257050$80$7.2K
    2987691010$380$6.1K
    992042,70316,38030$110$5.6K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Pineywoods Home ServicesTXHome Health Agency$0$62.9M
    Vivek ManglaTXClinical Cardiac Electrophysiology Physician$1.6M$0
    Amirreza SolhpourTXInterventional Cardiology Physician$1M$0
    Matthew RowleyTXSpecialist$920.2K$0
    Brent CampbellTXUrology Physician$572.6K$0
    Jason CarterTXOrthopaedic Surgery Physician$489.8K$0
    Ravinder BachireddyTXInterventional Cardiology Physician$467.5K$0
    Bramham ReddyTXHematology & Oncology Physician$393.7K$0
    Munir AhmadTXHematology & Oncology Physician$342.9K$0
    Medmark Treatment Centers Of Texas, Inc.TXSubstance Use Disorder Rehabilitation Clinic/Center$83.5K$255.2K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Daniel Fuentes — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas