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NPI 1447260070 · Port Jefferson, NY · Orthopaedic Surgery Physician
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Michael Fracchia is a orthopaedic surgery physician provider located in Port Jefferson, New York. This profile covers 19 Medicare and 1 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 | Michael Fracchia |
| Address | 635 Belle Terre Rd |
| City | Port Jefferson |
| State | NY |
| ZIP | 11777 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $321.8K |
| Medicaid | $100 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 50 | $1,280 | $62.6K |
| 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… | 40 | $1,280 | $48.8K |
| 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… | 610 | $80 | $48.7K |
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 35,620 | $1 | $35.6K |
| 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 | $110 | $30.7K |
| 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… | 410 | $70 | $26.9K |
| 99203 | The 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… | 180 | $100 | $16.6K |
| 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… | 90 | $140 | $12.2K |
| 73562 | In 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. | 280 | $40 | $11.6K |
| 99215 | The 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… | 60 | $160 | $9.4K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 112 | 480 | 30 | $1,120 | $43.7K |
| 27130 | 110 | 350 | 30 | $1,120 | $40.3K |
| 99214 | 6,484 | 30,450 | 90 | $100 | $19K |
| 29880 | 33 | 40 | 20 | $890 | $17.9K |
| 20611 | 606 | 740 | 80 | $90 | $15.9K |
| 99213 | 1,729 | 31,440 | 80 | $70 | $12.1K |
| J7328 | 5 | 30 | 16,610 | $1 | $11.1K |
| 99215 | 2,799 | 8,280 | 40 | $140 | $10.1K |
| 20985 | 39 | 100 | 40 | $140 | $9.1K |
| 20610 | 92 | 1,870 | 60 | $60 | $7K |
Showing 1–10 of 19
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.
1 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… | 20 | $10 | $110 |
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
1 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… | 17,297 | 19,110 | 360 | $70 | $321K |
Other providers in the same ZIP code as Michael Fracchia, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| John T. Mather Memorial Hospital | NY | General Acute Care Hospital | $0 | $20.3M |
| Ahmad Bhatti | NY | Vascular Surgery Physician | $1.3M | $0 |
| Brian Durkin | NY | Pain Medicine (Anesthesiology) Physician | $797.8K | $8.9K |
| Anzhelika Vaccaro | NY | Ophthalmology Physician | $605.1K | $102K |
| Nick Patel | NY | Pulmonary Disease Physician | $355.3K | $0 |
| George Fairey | NY | Psychiatry Physician | $347.5K | $0 |
| Matthew Boylan | NY | Sports Medicine (Orthopaedic Surgery) Physician | $210.3K | $0 |
| Jessica Blydenburgh | NY | Family Medicine Physician | $183.2K | $2K |
| Mindy Shaffran | NY | Obstetrics & Gynecology Physician | $178.5K | $0 |
| Carolina De Elia | NY | Hospice and Palliative Medicine (Internal Medicine) Physician | $170.3K | $4.2K |
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