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    OpenPayerNPI Medicare & MedicaidJoseph Fazalare
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    Joseph Fazalare — Billing Profile & Reimbursement Data

    NPI 1336307941 · Bridgeport, WV · Sports Medicine (Orthopaedic Surgery) Physician

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    Joseph Fazalare is a sports medicine (orthopaedic surgery) physician provider located in Bridgeport, West Virginia. 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
    OrganizationJoseph Fazalare
    Address527 Medical Park Dr Ste 400
    CityBridgeport
    StateWV
    ZIP26330
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedMay 30, 2008

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

    Payer SourceTotal Paid
    Medicare$35.7K
    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
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…30$430$11.6K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…30$400$11.6K
    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…60$60$3.8K
    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…20$90$2.1K
    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…40$50$1.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.2K
    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…20$50$1.2K
    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…30$40$1.2K
    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…10$70$730
    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,…10$20$250

    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
    2988111020$750$18.8K
    992141,7522,740100$70$11.8K
    2988011020$520$9.3K
    992132,0252,86080$50$7.5K
    2061015724060$40$5.3K
    992229991,08030$100$4.5K
    992046881,22030$100$4.1K
    9920358894030$60$2.8K
    9921260162030$30$2K
    9922121323020$60$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Hospital Center, IncWVGeneral Acute Care Hospital$0$63.3M
    United Hospital Center, Inc.WVInternal Medicine Physician$0$13.7M
    United Hospital CenterWVInternal Medicine Physician$0$1.5M
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    Sathyanarayan ReddyWVCardiovascular Disease Physician$521.3K$0
    Vasil ParousisMDUrology Physician$468.1K$0
    Matthew MacatolOHAnatomic Pathology & Clinical Pathology Physician$348.7K$470
    Jeramie Rosales RodriguezMOPsychiatry Physician$2.1K$289.9K
    John AdeniyiWVVascular Surgery Physician$278.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Specialists, Inc.WVInfectious Disease Physician$0$11.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.3M
    Bridgeport Behavioral ClinicWVPsychiatry Physician$0$5.7M
    Doctors Specialty CareWVAddiction Medicine (Family Medicine) Physician$0$4.1M
    Delta Lifestyle SolutionsWVFamily Medicine Physician$0$4.1M
    Lincare IncWVDurable Medical Equipment & Medical Supplies$0$4M
    Cornerstone Pediatric Therapy Center, LLCWVPediatric Occupational Therapist$0$3.7M
    Mountain State Medical Specialties, PLLCWVDermatology Physician$0$3.6M
    Seyed MomenWVPediatric Dentistry$0$3.2M
    Community Care Of West Virginia, Inc.WVCommunity/Behavioral Health Agency$0$2.6M

    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. West Virginia Distribution
    Joseph Fazalare — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia