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    OpenPayerNPI Medicare & MedicaidBret Dales
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    Bret Dales — Billing Profile & Reimbursement Data

    NPI 1386624872 · Gresham, OR · Orthopaedic Surgery Physician

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    Bret Dales is a orthopaedic surgery physician provider located in Gresham, Oregon. This profile covers 16 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
    OrganizationBret Dales
    Address24076 Se Stark
    CityGresham
    StateOR
    ZIP97030
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$107K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$990$41.5K
    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…170$100$15.8K
    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$1,030$13.4K
    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$120$9K
    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…110$70$8K
    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…30$140$3.7K
    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.110$30$3.1K
    99205The provider sees a new 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 provider…20$160$2.7K
    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…50$50$2.6K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.90$30$2.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475417030$1,590$60.3K
    2713010011030$1,610$53.1K
    992141,5916,07080$70$10.3K
    992151,3742,17040$100$6.7K
    992131,4645,48060$50$5.7K
    9920563394020$150$4.7K
    992044002,75030$110$4.4K
    2061017541040$50$3.5K
    7356531020$30$1.2K
    73501263030$20$1.1K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jess MeyerORSurgical Physician Assistant$51.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Mount Hood Medical CenterORGeneral Acute Care Hospital$0$43.2M
    Telecare Mental Health Services Of Oregon, IncORMental Illness Community Based Residential Treatment Facility$0$12M
    The Evangelical Lutheran Good Samaritan SocietyORIn Home Supportive Care Agency$0$5M
    Calcagno Pediatrics PCORPediatrics Physician$0$5M
    Mtn. View Family Practice, PCORFamily Medicine Physician$0$1.8M
    Jiyoung E Lee Dmd PCORPediatric Dentistry$0$1.6M
    Performance Modalities IncOROxygen Equipment & Supplies (DME)$0$1.4M
    Providence Health & Services - OregonORFamily Medicine Physician$0$1.3M
    Legacy Mount Hood Medical CenterORClinic/Center$0$1.1M
    Columbia Pain And Spine InstituteORPhysical Medicine & Rehabilitation Physician$0$1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Bret Dales — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon