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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhilip Ploska
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    Philip Ploska — Billing Profile & Reimbursement Data

    NPI 1356338313 · Stockbridge, GA · Orthopaedic Surgery Physician

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    Philip Ploska is a orthopaedic surgery physician provider located in Stockbridge, Georgia. This profile covers 38 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
    OrganizationPhilip Ploska
    Address135 N Park Pl Ste 101
    CityStockbridge
    StateGA
    ZIP30281
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$169.8K
    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.

    38 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…840$60$53.5K
    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…150$90$12.4K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.450$30$11.8K
    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…240$50$11.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.100$100$10.3K
    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…130$70$9.8K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…230$30$6.2K
    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.170$30$4.8K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…230$20$4.6K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…250$20$4.3K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,96013,640120$80$17.8K
    975307701,830360$20$13.2K
    971101,5682,150500$20$12.6K
    9921328813,36080$60$9.2K
    971121,0691,790300$20$9.2K
    7214811652050$80$6.4K
    206101961,32060$50$5.8K
    971409281,770240$20$5.2K
    992046,2267,26030$110$5.1K
    9588619522050$70$4.7K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John MusserGAPhysical Medicine & Rehabilitation Physician$151.9K$0
    Julio PetilonLAOrthopaedic Surgery Physician$56.4K$0
    Aniefiok IsenGAPhysical Therapist$7.1K$870

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apex Family Healthcare Services, LLCGACommunity/Behavioral Health Agency$0$19M
    Pacific Health Systems LLCGAHome Health Agency$0$9.9M
    Southern Crescent Pediatrics PCGAPediatrics Physician$0$9.6M
    Healthsource Agency IncGAHome Health Agency$0$5.8M
    Piedmont Hospitalist Physicians LLCGAFamily Medicine Physician$0$3.6M
    National Premier Laboratories IncGAClinical Medical Laboratory$0$3.4M
    Covenant Care Pediatrics PCGAPediatrics Physician$0$3M
    Stockbridge PediatricsGAPediatrics Physician$0$2.6M
    Surgical Center For Urology LLCGAAmbulatory Surgical Clinic/Center$805.2K$0
    Regenerative Orthopaedics Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$622K$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. Georgia Distribution
    Philip Ploska — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia