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    OpenPayerNPI Medicare & MedicaidAndrew Spitzfaden
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    Andrew Spitzfaden — Billing Profile & Reimbursement Data

    NPI 1447296181 · Chesterfield, MO · Orthopaedic Surgery Physician

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    Andrew Spitzfaden is a orthopaedic surgery physician provider located in Chesterfield, Missouri. This profile covers 21 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
    OrganizationAndrew Spitzfaden
    Address224 S Woods Mill Rd
    CityChesterfield
    StateMO
    ZIP63017
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 21, 2006

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

    Payer SourceTotal Paid
    Medicare$230.7K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$80$47K
    27447In 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$1,000$45K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg3,260$10$22.8K
    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…330$60$20.9K
    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…230$90$20.1K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$840$14.2K
    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$60$10.6K
    99204The 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…80$120$10K
    73562In 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.260$30$8.4K
    J1020Injection, methylprednisolone acetate, 20 mg1,500$10$7.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274477825030$1,140$50.2K
    29827367020$990$24.6K
    J73258501,630$10$15.6K
    992142,2948,960100$80$13.9K
    29824152020$300$7.9K
    992137308,73070$50$7K
    20611214050$70$5.8K
    992045924,36030$100$4.8K
    2061074483060$40$4.6K
    992031022,95030$70$3.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian WegmanMOOrthopaedic Surgery Physician$348.9K$0
    Damion WalkerKSOrthopaedic Surgery Physician$296.5K$0
    Adam RammacherMOFoot & Ankle Surgery Podiatrist$103.4K$138.8K
    Richard RamesMOOrthopaedic Surgery Physician$218.8K$0
    Thomas NiesenMOSurgery Physician$208.9K$0
    Timothy LangMOOrthopaedic Surgery Physician$153.1K$0
    Andrew BlackmanMTSports Medicine (Orthopaedic Surgery) Physician$148.5K$0
    Christopher CroninMOSurgery Physician$63.2K$0
    Kevin KuhnCAOrthopaedic Surgery Physician$42.2K$0
    Robert MorganMOOrthopaedic Surgery of the Spine Physician$26.6K$850

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy East Ambulatory Services LLCMOUrgent Care Clinic/Center$0$8.2M
    Pathways Community Hospice, LLCMOCommunity Based Hospice Care Agency$0$4.9M
    Mercy Healthcare, Inc.MOHome Health Agency$0$4.8M
    St. Lukes Episcopal-presbyterian HospitalMOGeneral Acute Care Hospital$0$3.5M
    Precision Labs LLCMOClinical Medical Laboratory$1.1M$9.6K
    Katharine MikulecMOEndocrinology, Diabetes & Metabolism Physician$968K$0
    Monarch Fire Protection DistrictMOLand Ambulance$621.4K$321.5K
    Midamerica Surgery CenterMOAmbulatory Surgical Clinic/Center$910.6K$0
    George HruzaMOMOHS-Micrographic Surgery Physician$713.1K$0
    Lawrence SamuelsMODermatology Physician$699.5K$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. Missouri Distribution
    Andrew Spitzfaden — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri