Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Hamilton
    Ask Trek AI about this page

    Stephen Hamilton — Billing Profile & Reimbursement Data

    NPI 1427232362 · Erlanger, KY · Sports Medicine (Orthopaedic Surgery) Physician

    Customize your policy alerts

    Sign up for Stephen Hamilton — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Stephen Hamilton is a sports medicine (orthopaedic surgery) physician provider located in Erlanger, Kentucky. This profile covers 23 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Hamilton
    Address600 Rodeo Dr
    CityErlanger
    StateKY
    ZIP41018
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedDecember 27, 2007

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

    Payer SourceTotal Paid
    Medicare$235.9K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg6,310$10$82.1K
    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…470$90$42.2K
    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…410$60$26.1K
    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…310$50$16.1K
    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…170$70$12.1K
    29862The provider examines the inside of the hip joint with an arthroscope. She repairs the joint by reshaping articular cartilage covering its ball and socket and removes the tissue rim, or labrum. The…20$590$10.6K
    29999Use 29999 to report arthroscopy procedures in the musculoskeletal system that does not have a specific code.30$270$8.3K
    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.160$40$6.1K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…50$80$3.9K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.40$90$3.7K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73221101,750$10$34.7K
    992146857,230110$70$14.1K
    992135397,25080$50$7.7K
    206107964080$40$6.6K
    2986211020$340$5.8K
    7214814120050$70$5.4K
    2999911030$170$4.8K
    20551142060$30$4.2K
    20611297040$70$4.2K
    737213913030$80$4K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adolph LombardiOHAdult Reconstructive Orthopaedic Surgery Physician$472K$0
    Michael SwankOHOrthopaedic Surgery Physician$343.1K$0
    Aarti SinglaOHPain Medicine (Physical Medicine & Rehabilitation) Physician$341.6K$0
    Michael MorrisOHAdult Reconstructive Orthopaedic Surgery Physician$322.4K$0
    Emily DixonOHSports Medicine (Family Medicine) Physician$303.5K$0
    Robert RolfOHOrthopaedic Surgery Physician$303.1K$0
    Brian BraithwaiteFLPain Medicine (Anesthesiology) Physician$299.9K$0
    Gregory SarkisianOHOrthopaedic Surgery Physician$292.9K$0
    Martin TaylorOHNeurology Physician$290K$0
    Haleem ChaudharyOHOrthopaedic Surgery Physician$288K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Medical Group, IncKYFamily Medicine Physician$0$95.1M
    St Elizabeth Medical Center, IncKYPhysician Assistant$0$3.8M
    Rural Metro Of Southern Ohio IncKYLand Ambulance$910.6K$1.8M
    City Of ErlangerKYAmbulance$188.4K$469.1K
    Justin KruerKYInterventional Pain Medicine Physician$202.2K$0
    Tyler RyanKYClinical Psychologist$152K$0
    David SowerKYSports Medicine (Emergency Medicine) Physician$115.6K$0
    James FlanaganKYEmergency Medicine Physician$80.6K$0
    Michelle HowellKYOptometrist$32.1K$0
    Richard OhmerKYFamily Medicine Physician$28.9K$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. Kentucky Distribution
    Stephen Hamilton — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky