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NPI 1356307326 · Miamisburg, OH · Orthopaedic Surgery Physician
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David Welker is a orthopaedic surgery physician provider located in Miamisburg, Ohio. This profile covers 13 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Welker |
| Address | 4000 Miamisburg Centerville Rd Ste 230 |
| City | Miamisburg |
| State | OH |
| ZIP | 45342 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | April 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $52.4K |
| Medicaid | $1.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 260 | $70 | $17K |
| 99203 | The 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… | 110 | $80 | $8.2K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 240 | $20 | $5.9K |
| 99212 | The 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,… | 140 | $40 | $5.7K |
| 20610 | In 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 | $50 | $3.7K |
| 99214 | The 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… | 30 | $90 | $2.5K |
| 73610 | In 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. | 90 | $30 | $2.3K |
| 28470 | The provider treats a metatarsal fracture without making a skin incision and without manipulating the fracture. | 10 | $170 | $2K |
| 99204 | The 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… | 10 | $120 | $1.5K |
| 20605 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may… | 30 | $40 | $1.2K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 16,620 | 20,010 | 100 | $70 | $11.7K |
| 99213 | 2,423 | 20,000 | 70 | $50 | $6.6K |
| 20610 | 731 | 1,640 | 60 | $50 | $4.7K |
| 99204 | 7,272 | 8,330 | 30 | $100 | $4.4K |
| 99203 | 471 | 6,380 | 30 | $60 | $2.9K |
| 28470 | 3 | 10 | 20 | $160 | $2.3K |
| 99212 | 263 | 4,100 | 30 | $30 | $1.7K |
| 73564 | 395 | 730 | 40 | $20 | $1.6K |
| 99202 | 619 | 850 | 20 | $40 | $1.2K |
| 20605 | 78 | 190 | 20 | $30 | $1.1K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 30 | $40 | $1K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 10 | $20 | $210 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 4,440 | 5,080 | 560 | $40 | $323.9K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 390 | 400 | 590 | $10 | $23.1K |
Other providers in the same ZIP code as David Welker, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Advanced Medical Equipment, LLC | OH | Customized Equipment (DME) | $0 | $58.4M |
| Kettering Medical Center | OH | General Acute Care Hospital | $0 | $20M |
| Maxim Healthcare Services, Inc. | OH | Home Health Agency | $0 | $18.4M |
| Kettering Independent Medical Group Inc | OH | Orthopaedic Surgery Physician | $0 | $8.4M |
| Stateline Medical Equipment, Inc | OH | Durable Medical Equipment & Medical Supplies | $0 | $7.9M |
| Chacko Alappatt | OH | Rheumatology Physician | $3.3M | $6.4K |
| Miami Valley Fire District | OH | Ambulance | $401.1K | $1.4M |
| Isis Medical, Incorporated | OH | Physiological Laboratory | $712.6K | $220.3K |
| Paul Obeng-okyere | OH | Cardiovascular Disease Physician | $371.8K | $0 |
| Rachel Boggus | OH | Pain Medicine (Anesthesiology) Physician | $272.6K | $0 |
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