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    OpenPayerNPI Medicare & MedicaidStephen Fox
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    Stephen Fox — Billing Profile & Reimbursement Data

    NPI 1467486910 · Concord, NH · Adult Reconstructive Orthopaedic Surgery Physician

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    Stephen Fox is a adult reconstructive orthopaedic surgery physician provider located in Concord, New Hampshire. This profile covers 18 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
    OrganizationStephen Fox
    Address264 Pleasant St
    CityConcord
    StateNH
    ZIP03301
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$257.8K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$990$61.4K
    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…770$60$47.5K
    27130In 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$990$37.6K
    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.670$30$20.8K
    27487In this procedure, the provider performs revision arthroplasty of the knee joint. She revises both the femoral and tibial components. She may or may not use an allograft to perform this procedure.…10$1,400$15.3K
    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…160$90$14.9K
    73564In 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.360$40$12.9K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.460$30$11.8K
    73502In 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…270$40$9.5K
    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…80$80$6.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447229040$1,310$57.7K
    27130247030$1,580$55.3K
    992141,1483,150110$80$13.2K
    2748741010$850$12K
    99213342,90070$50$6.9K
    992044661,34030$100$4.6K
    206108825050$50$4.5K
    992031611,01030$70$3.3K
    73721358020$80$2.8K
    73564317040$20$1.7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Concord Hospital, Inc.NHGeneral Acute Care Hospital$0$28.8M
    Concord Hospital, Inc.NHGeneral Practice Physician$0$3.7M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    Concord Orthopaedics Professional AssociationNHOrthopaedic Surgery Physician$0$646.8K
    Hoke ShirleyNHRheumatology Physician$407K$0
    Jeffrey WileyNHOrthopaedic Surgery Physician$317.2K$0
    Neil DionNHOrthopaedic Surgery Physician$276.5K$0
    Jason DesmaraisNHOrthopaedic Surgery Physician$267.4K$0
    Hussein El-newihiCAGastroenterology Physician$245K$0
    Douglas DrefferNHFamily Medicine Physician$239.6K$340

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community BridgesNHCase Management Agency$0$265.5M
    Riverbend Community Mental Health, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$118.4M
    Granite State Independent LivingNHIn Home Supportive Care Agency$0$74.7M
    Ascentria Community Services, IncNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$52.6M
    Ascentria Community Care, IncNHVoluntary or Charitable Agency$0$50.3M
    Concord Pediatric DentistryNHPediatric Dentistry$0$13.6M
    New England Life Care, Inc.NHHome Infusion Therapy Pharmacy$0$11.4M
    New Hampshire Home Care Providers LLCNHIn Home Supportive Care Agency$0$11M
    Brain Injury Association Of NhNHCase Management Agency$0$11M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$404K$10.4M

    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. New Hampshire Distribution
    Stephen Fox — 6 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire