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NPI 1366616849 · Springfield, MA · Orthopaedic Surgery Physician
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Jennie Garver is a orthopaedic surgery physician provider located in Springfield, Massachusetts. This profile covers 18 Medicare and 6 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 | Jennie Garver |
| Address | 300 Birnie Ave Ste 301 |
| City | Springfield |
| State | MA |
| ZIP | 01107 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | April 16, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $185.9K |
| Medicaid | $49.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 23472 | In 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… | 60 | $1,180 | $70.9K |
| 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… | 230 | $100 | $23.2K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $850 | $20.4K |
| 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… | 240 | $70 | $16.4K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 470 | $30 | $13.1K |
| 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… | 150 | $50 | $7.9K |
| 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… | 50 | $120 | $6.6K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 10 | $500 | $6.5K |
| 29824 | The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure… | 30 | $200 | $5.5K |
| 29826 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder… | 30 | $140 | $4.1K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 23472 | 6 | 80 | 20 | $880 | $25.5K |
| 29827 | 27 | 80 | 20 | $930 | $21.4K |
| 99214 | 3,900 | 15,410 | 110 | $80 | $15.6K |
| 29828 | 18 | 30 | 20 | $850 | $15.3K |
| 99213 | 2,240 | 13,700 | 70 | $60 | $8.8K |
| 29824 | 6 | 20 | 20 | $270 | $6.5K |
| 20610 | 234 | 980 | 60 | $50 | $5.8K |
| 99204 | 1,754 | 5,870 | 30 | $120 | $5.6K |
| 29823 | 17 | 50 | 20 | $210 | $5.2K |
| 99203 | 3,032 | 4,290 | 30 | $80 | $4.1K |
Showing 1–10 of 18
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.
6 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… | 500 | $60 | $28.4K |
| 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… | 240 | $60 | $13.4K |
| 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… | 40 | $80 | $3.5K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 60 | $30 | $1.6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 130 | $10 | $1.2K |
| 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… | 10 | $90 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,723 | 5,040 | 200 | $70 | $209.5K |
| 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… | 2,005 | 5,300 | 230 | $60 | $164.5K |
| 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… | 79 | 150 | 310 | $80 | $118.8K |
| 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… | 828 | 990 | 100 | $80 | $75.6K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 122 | 160 | 500 | $10 | $29.6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 81 | 130 | 270 | $1 | $4.4K |
Other providers in the same ZIP code as Jennie Garver, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Center For Human Development, Inc. | MA | Community/Behavioral Health Agency | $0 | $97.1M |
| Viecare Corp | MA | Foster Care Agency | $0 | $35.5M |
| Andventure, LLC | MA | Home Health Agency | $0 | $14.6M |
| Baystate Mri & Imaging Center, LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $2.6M | $6.7M |
| Radiology & Imaging, Inc. | MA | Diagnostic Radiology Physician | $0 | $5.8M |
| David Lally | MA | Ophthalmology Physician | $3.2M | $670 |
| Rebecca Soares | MA | Retina Specialist (Ophthalmology) Physician | $3M | $9.1K |
| Shilpa Gulati | MA | Ophthalmology Physician | $2.4M | $0 |
| Andrew Lam | MA | Ophthalmology Physician | $1.4M | $0 |
| Hari Mylvaganam | MA | Ophthalmology Physician | $1.3M | $5.1K |
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