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    OpenPayerNPI Medicare & MedicaidBryan Fox
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    Bryan Fox — Billing Profile & Reimbursement Data

    NPI 1437162815 · Suffolk, VA · Orthopaedic Surgery Physician

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    Bryan Fox is a orthopaedic surgery physician provider located in Suffolk, Virginia. This profile covers 43 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
    OrganizationBryan Fox
    Address150 Burnetts Way
    CitySuffolk
    StateVA
    ZIP23434
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 15, 2006

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

    Payer SourceTotal Paid
    Medicare$524.7K
    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.

    43 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…1,100$90$100.8K
    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)…330$190$62.7K
    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…820$70$54.3K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…330$160$51.8K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…30$1,300$36.3K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,240$22.4K
    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…150$130$19.2K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…30$620$19.1K
    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…520$30$15.6K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$570$12.5K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368532020$3,270$65.5K
    6365521020$2,840$54K
    22633185020$980$23.5K
    9921434612,890140$80$21K
    22551165020$960$16.3K
    62323515060$170$14.5K
    22614618050$220$13.8K
    992332,2543,29080$90$13.7K
    630479611020$470$11.8K
    992323,4204,46080$60$11K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geoffrey WrightVAAdult Reconstructive Orthopaedic Surgery Physician$628.1K$0
    James HenickVAPain Medicine (Physical Medicine & Rehabilitation) Physician$448.8K$460
    Anthony BevilacquaVAOrthopaedic Surgery Physician$385.9K$0
    David GossVAOrthopaedic Surgery Physician$361K$0
    Scott GrabillNCOrthopaedic Surgery Physician$250.8K$0
    Christopher DipasqualeVAOrthopaedic Surgery Physician$148.3K$0
    Richard GuinandVAFamily Medicine Physician$125.4K$0
    Jeremy WaltersVAOrthopaedic Foot and Ankle Surgery Physician$124.8K$0
    Catherine CooperVAHand Occupational Therapist$62.5K$0
    Samuel BrownVAOrthopaedic Surgery Physician$46K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$57.9M
    Lovin Care Home Health Services, LLC.VAHome Health Agency$0$15.3M
    Companion Of Care Home Health Inc.VAHome Health Agency$0$8.2M
    Crossroads Treatment Center Of Suffolk, PCVAMethadone Clinic$0$7.8M
    Miangel Home Healthcare, LLCVAHome Health Agency$0$7.4M
    All For You In-home Care LLCVAHome Health Agency$0$7.3M
    Safe Hands Home Health Care LLCVAVA Clinic/Center$0$6.3M
    Heavenly Hands IncVAIn Home Supportive Care Agency$0$6.3M
    National Counseling Group, IncVAMental Health Counselor$0$6.3M
    Victor ArchieVARadiation Oncology Physician$4M$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. Virginia Distribution
    Bryan Fox — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia