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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSiddharth Mahure
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    Siddharth Mahure — Billing Profile & Reimbursement Data

    NPI 1346696499 · Montclair, NJ · Orthopaedic Surgery Physician

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    Siddharth Mahure is a orthopaedic surgery physician provider located in Montclair, New Jersey. This profile covers 21 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
    OrganizationSiddharth Mahure
    Address1 Seymour St
    CityMontclair
    StateNJ
    ZIP07042
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 8, 2016

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

    Payer SourceTotal Paid
    Medicare$122.5K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…220$110$23.1K
    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$1,120$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…10$1,120$14.6K
    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…130$80$9.6K
    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.220$40$9.5K
    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…70$130$9.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$150$8.3K
    27495In this procedure, the provider treats a defect in the femur using fixation implants like nails, plates, or screws to prevent future issues. She may or may not use methylmethacrylate, a type of bone…10$660$7.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$150$5.7K
    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…70$60$4.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744722127030$1,040$51.2K
    2713015619030$1,070$42.7K
    992145,00113,640130$90$23.6K
    992135,97414,090100$70$13.1K
    992151,8933,75040$140$12K
    992232,2844,98050$140$11.8K
    364151,9302,200110$10$11.1K
    206105851,11080$60$10K
    20985284040$120$8.4K
    2749521010$600$8.3K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John NicklessILSports Medicine (Family Medicine) Physician$700K$0
    Vasili KarasILAdult Reconstructive Orthopaedic Surgery Physician$666.5K$24.7K
    Julia BrueneILFamily Medicine Physician$489.1K$136.4K
    Matthew ColmanILOrthopaedic Surgery of the Spine Physician$556.4K$1.4K
    Gregory LopezILOrthopaedic Surgery of the Spine Physician$539.9K$0
    Denis NamILAdult Reconstructive Orthopaedic Surgery Physician$523.8K$640
    Scott SporerILAdult Reconstructive Orthopaedic Surgery Physician$515.6K$0
    Omar BeheryNCOrthopaedic Surgery Physician$446.2K$220
    Brett LevineILAdult Reconstructive Orthopaedic Surgery Physician$427.8K$1.1K
    Joshua BlomgrenILSports Medicine (Family Medicine) Physician$361.1K$31.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montclair Hospital LLCNJGeneral Acute Care Hospital$0$48.6M
    Freehold Montclair Healthcare, LLCNJAdult Day Care Clinic/Center$0$31.2M
    Mental Health Association Of Essex And Morris, Inc.NJMental Health Counselor$0$13.7M
    Fadi El AtatNJCardiovascular Disease Physician$288K$1.1M
    Montclair Ambulance UnitNJLand Ambulance$320.2K$321.3K
    Naveen AllamNJInternal Medicine Physician$558.1K$0
    Rowen DianoNJGeriatric Medicine (Internal Medicine) Physician$449.3K$0
    Joo Young LeeNJDiagnostic Radiology Physician$335.6K$0
    Nabila HaiNJDiagnostic Radiology Physician$278.8K$0
    Nirman TulsyanNJVascular Surgery Physician$268.8K$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. New Jersey Distribution
    Siddharth Mahure — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey