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    OpenPayerNPI Medicare & MedicaidAlfred Hicks
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    Alfred Hicks — Billing Profile & Reimbursement Data

    NPI 1376744565 · Middletown, CT · Orthopaedic Surgery of the Spine Physician

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    Alfred Hicks is a orthopaedic surgery of the spine physician provider located in Middletown, Connecticut. This profile covers 17 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
    OrganizationAlfred Hicks
    Address512 Saybrook Rd
    CityMiddletown
    StateCT
    ZIP06457
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMay 29, 2007

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

    Payer SourceTotal Paid
    Medicare$95.2K
    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.

    17 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…540$100$54.1K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$220$14.8K
    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…200$30$6.6K
    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…40$120$5K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.30$110$3.4K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.70$30$2.4K
    72070A radiologic examination of the thoracic spine is an X–ray of the twelve chest thoracic vertebrae. An AP and lateral are basic projections. The X–rays are used in a controlled way to minimize the…60$30$1.5K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.10$120$1.4K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…40$40$1.3K
    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.30$40$1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142886,48090$90$14.2K
    62323259040$190$12.3K
    992136,3256,44070$60$8.1K
    7214811218050$100$7.8K
    992047232,66030$120$4.6K
    7214111212030$90$4.2K
    7356418027040$30$2K
    7356226231040$20$1.6K
    7350223247040$20$1.2K
    7303036047040$20$1.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael SingerNYDiagnostic Radiology Physician$1.2M$0
    Orthopaedic & Neurosurgery Specialists, PLLCCTOrthopaedic Surgery Physician$0$1.1M
    Peter SteinNYOrthopaedic Hand Surgery Physician$631.8K$0
    Kapil DesaiCTDiagnostic Radiology Physician$576.8K$20.4K
    Frank LombardoNYOrthopaedic Surgery Physician$568.7K$7K
    Kevin CassidyNYOrthopaedic Surgery Physician$567.9K$0
    Tamar KesselCTPhysical Medicine & Rehabilitation Physician$540.4K$0
    Russell TiggesNYAdult Reconstructive Orthopaedic Surgery Physician$539.2K$0
    Joseph RothenbergNYPhysical Medicine & Rehabilitation Physician$455.4K$0
    Amir AnnabiNYPhysical Medicine & Rehabilitation Physician$379.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Center IncCTFederally Qualified Health Center (FQHC)$0$533.4M
    Middlesex HospitalCTGeneral Acute Care Hospital$0$116.1M
    Rushford Center IncCTSubstance Abuse Rehabilitation Facility$0$23M
    Pursuecare, LLCCTAddiction Medicine (Preventive Medicine) Physician$0$9.8M
    Gilead Community Services, Inc.CTAdult Mental Health Clinic/Center$0$8.9M
    Middlesex HospitalCTFamily Nurse Practitioner$0$7.5M
    Mhs Primary Care, IncCTFamily Medicine Physician$0$5.4M
    City Of MiddletownCTLocal Education Agency (LEA)$0$4.2M
    Surgi-care, IncCTProsthetic/Orthotic Supplier$0$4.2M
    Unison Health Services, Inc.CTHome Health Agency$0$3.8M

    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. Connecticut Distribution
    Alfred Hicks — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut