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    OpenPayerNPI Medicare & MedicaidJohn Clapp
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    John Clapp — Billing Profile & Reimbursement Data

    NPI 1457471336 · Augusta, GA · Orthopaedic Surgery Physician

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    John Clapp is a orthopaedic surgery physician provider located in Augusta, Georgia. This profile covers 22 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
    OrganizationJohn Clapp
    Address811 13th St
    CityAugusta
    StateGA
    ZIP30901
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 2, 2007

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

    Payer SourceTotal Paid
    Medicare$171.9K
    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.

    22 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…300$90$27.2K
    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…380$60$22.7K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…30$620$19.3K
    22630The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…20$1,170$17.6K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.100$140$14.3K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$1,150$13.8K
    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$9.1K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$600$6.6K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…10$590$6.5K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$200$6.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612496020$1,060$22.3K
    2221431010$610$20.1K
    992143,18813,640120$80$17.8K
    630471613020$540$11.4K
    992131,33113,36080$60$9.2K
    22842557020$460$8.7K
    22840255020$400$8K
    2263011010$590$7.6K
    7214811652050$80$6.4K
    228538615040$140$5.8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Terry ArringtonGAOrthopaedic Surgery Physician$291.4K$0
    Randall MeredithGAAdult Reconstructive Orthopaedic Surgery Physician$278.6K$0
    Thomas ParfenchuckGAOrthopaedic Surgery Physician$240K$0
    John FranklinGAOrthopaedic Surgery Physician$236.6K$0
    Douglas PhillipsGAOrthopaedic Surgery Physician$227.1K$0
    Richard MassieSCOrthopaedic Surgery Physician$214.7K$0
    Larry CarterGAOrthopaedic Surgery Physician$204.2K$0
    Ty CarterSCOrthopaedic Surgery of the Spine Physician$186.2K$0
    Brian AbellGAOrthopaedic Surgery Physician$174.2K$0
    Bernard SchererGAPhysician Assistant$170.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health Services,incGAGeneral Acute Care Hospital$0$2.3M
    Stephen W. Brown And Radiology Associates Of Augusta LLPGADiagnostic Radiology Physician$0$1.6M
    Alice DavidGAHematology & Oncology Physician$1.4M$0
    Brent LimbaughGAHematology & Oncology Physician$1.1M$0
    Felisha LeeGAMental Health Counselor$0$978.1K
    Nephrology Associates, PCGANephrology Physician$0$626.7K
    Janet DavisGAMaternal & Fetal Medicine Physician$0$611.4K
    William TannehillGAVascular & Interventional Radiology Physician$609.6K$0
    Orthopaedic Associates Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$609.6K$0
    Augusta Developmental Specialists, LLCGADevelopmental - Behavioral Pediatrics Physician$0$573.1K

    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. Georgia Distribution
    John Clapp — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia