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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Fitzgerald
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    Jay Fitzgerald — Billing Profile & Reimbursement Data

    NPI 1447220603 · Wagner, SD · Sports Physician Chiropractor

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    Jay Fitzgerald is a sports physician chiropractor provider located in Wagner, South Dakota. This profile covers 3 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
    OrganizationJay Fitzgerald
    Address109 1st. St. Sw
    CityWagner
    StateSD
    ZIP57380
    TaxonomySports Physician Chiropractor
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$54K
    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    98941The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.1,930$30$50.1K
    98942The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.40$40$1.5K
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.90$20$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    989416290300$30$12K
    98942172070$30$3.8K
    98940113180130$20$3.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Chiropractic Centers, PCSDChiropractor$0$231K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wagner Indian Health Service Health CenterSDClinic/Center$0$8.8M
    Wagner Community Memorial HospitalSDCritical Access Hospital$0$768.3K
    Rural Office Of Community Services, IncSDNon-emergency Medical Transport (VAN)$0$739.4K
    Wagner Community Memorial HospitalSDFamily Medicine Physician$0$499.8K
    Gary BubakSDInternal Medicine Physician$0$251.5K
    Rural Office Of Community Services IncSDSecured Medical Transport (VAN)$0$81.2K
    First Chiropractic Centers, PCSDChiropractor$0$72.7K
    Avera MckennanSDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$42.2K
    Berkley EricksonSDFamily Nurse Practitioner$20.3K$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. South Dakota Distribution
    Jay Fitzgerald — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota