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

    NPI 1346551439 · Henderson, KY · Orthopaedic Surgery Physician

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    David Whitney is a orthopaedic surgery physician provider located in Henderson, Kentucky. This profile covers 22 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 Whitney
    Address471 Klutey Park Plaza Dr
    CityHenderson
    StateKY
    ZIP42420
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 23, 2010

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

    Payer SourceTotal Paid
    Medicare$178.9K
    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.

    22 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…530$60$32.7K
    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…30$920$26.7K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose40$390$16.1K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,050$15.7K
    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…20$920$14.8K
    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…280$50$13.6K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$860$12.1K
    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…20$380$9.1K
    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…80$70$5.9K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.140$30$4.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274478316030$1,090$45.7K
    27130669020$1,090$32.6K
    23472396020$780$22.5K
    J7326164040$410$20.3K
    992145,8017,230110$70$14.1K
    27236143010$810$12.1K
    992133187,25080$50$7.7K
    2988011010$450$7.2K
    206109264080$40$6.6K
    7214813920050$70$5.4K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-state Orthopaedic Surgeons, Inc.INOrthopaedic Surgery Physician$0$2.7M
    Kacy RogersINNurse Practitioner$643.1K$0
    Michael BoydINOrthopaedic Surgery Physician$503.6K$0
    William AnteINPhysical Medicine & Rehabilitation Physician$458.2K$0
    F Thomas KaplanINOrthopaedic Hand Surgery Physician$327.8K$0
    Paul PerryINOrthopaedic Hand Surgery Physician$303.9K$0
    Daniel DalugaINSports Medicine (Orthopaedic Surgery) Physician$291.6K$0
    Robert ShugartINOrthopaedic Surgery of the Spine Physician$290.8K$0
    Peter KnollINOrthopaedic Surgery Physician$275K$0
    Jason FranklinINPain Medicine (Physical Medicine & Rehabilitation) Physician$224.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Health, Inc.KYGeneral Acute Care Hospital$0$51M
    Lighthouse Counseling Services, Inc.KYMental Health Counselor$0$12.1M
    Stability Counseling And Associates LLCKYMental Health Counselor$0$6.5M
    Robert WagonerKYOral & Maxillofacial Surgery (D.M.D.)$0$4.7M
    Brad T Fulkerson, Dmd,msd,llcKYPediatric Dentistry$0$3.6M
    Community Alternatives Kentucky, Inc.KYDevelopmentally Disabled Services Day Training Agency$0$3.3M
    Hugh E Sandefur Ind IncKYContractor$0$3.1M
    Jason FoggKYPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0
    James FellowsKYUrology Physician$192.2K$137.8K
    Anthony PerkinsKYDiagnostic Radiology Physician$259K$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. Kentucky Distribution
    David Whitney — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky