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NPI 1437311198 · East Syracuse, NY · Orthopaedic Surgery Physician
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Robert Sherman is a orthopaedic surgery physician provider located in East Syracuse, New York. This profile covers 17 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 | Robert Sherman |
| Address | 6620 Fly Rd |
| City | East Syracuse |
| State | NY |
| ZIP | 13057 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | June 25, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $258.5K |
| Medicaid | $5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 80 | $1,000 | $79.2K |
| 27130 | In 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… | 70 | $990 | $67K |
| 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… | 270 | $90 | $24.7K |
| 73564 | In 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. | 580 | $30 | $18.6K |
| 73700 | In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity. | 220 | $80 | $16.5K |
| 73502 | In 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… | 390 | $30 | $10.5K |
| 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… | 70 | $120 | $7.9K |
| 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… | 120 | $60 | $7.7K |
| 0055T | The provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic… | 50 | $120 | $6.2K |
| 73721 | In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material. | 50 | $120 | $5.5K |
Showing 1–10 of 17
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 60 | 480 | 30 | $1,120 | $43.7K |
| 27130 | 46 | 350 | 30 | $1,120 | $40.3K |
| 99214 | 6,591 | 30,450 | 90 | $100 | $19K |
| 73721 | 249 | 480 | 50 | $120 | $13.5K |
| 72148 | 671 | 810 | 50 | $120 | $13.1K |
| 99213 | 11,878 | 31,440 | 80 | $70 | $12.1K |
| 20610 | 1,101 | 1,870 | 60 | $60 | $7K |
| 99204 | 3,101 | 14,170 | 30 | $130 | $6.6K |
| 99222 | 7,515 | 7,870 | 30 | $110 | $5.9K |
| 0055T | 5 | 20 | 30 | $140 | $5.8K |
Showing 1–10 of 17
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… | 160 | $20 | $3.2K |
| 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… | 30 | $30 | $830 |
| 73564 | In 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. | 60 | $10 | $740 |
| 73502 | In 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… | 20 | $10 | $140 |
| 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… | 10 | $10 | $130 |
| 73565 | In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in… | 20 | $1 | $60 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 11,743 | 19,110 | 360 | $70 | $321K |
| 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… | 13,816 | 16,550 | 220 | $90 | $186.8K |
| 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… | 369 | 380 | 100 | $70 | $45.1K |
| 73564 | In 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. | 176 | 260 | 190 | $20 | $14.8K |
| 73502 | In 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… | 217 | 270 | 100 | $10 | $7.2K |
| 73565 | In this procedure, the provider takes X–ray images of a patient’s knees while the patient is in a standing position facing the X–ray machine to check for any fracture, swelling, or reason for pain in… | 19 | 30 | 30 | $30 | $4.9K |
Other providers in the same ZIP code as Robert Sherman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Richard Cherny | NY | Hematology & Oncology Physician | $6.3M | $8.5K |
| Tarek Sousou | NY | Hematology & Oncology Physician | $4.2M | $700 |
| Jeffrey Kirshner | NY | Hematology & Oncology Physician | $2.2M | $290 |
| Syracuse Endoscopy Associates, LLC | NY | Endoscopy Clinic/Center | $560.3K | $1.1M |
| Steven Duffy | NY | Internal Medicine Physician | $1.2M | $630 |
| Olga Kligerman | NY | Hematology & Oncology Physician | $841.9K | $1.7K |
| K&a Radiologic Technology Services Inc | NY | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $638.2K | $89.1K |
| Tracy Alpert | NY | Radiation Oncology Physician | $527.8K | $0 |
| Upstate Orthopedics Ambulatory Surgery Center LLC | NY | Ambulatory Surgical Clinic/Center | $402.5K | $83.6K |
| Kavitha Prezzano | NY | Radiation Oncology Physician | $477.3K | $0 |
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