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    OpenPayerNPI Medicare & MedicaidJames Piorkowski
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    James Piorkowski — Billing Profile & Reimbursement Data

    NPI 1467621599 · Pensacola, FL · Orthopaedic Hand Surgery Physician

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    James Piorkowski is a orthopaedic hand surgery physician provider located in Pensacola, Florida. This profile covers 25 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
    OrganizationJames Piorkowski
    Address125 Baptist Way Ste 4a
    CityPensacola
    StateFL
    ZIP32503
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedFebruary 22, 2008

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

    Payer SourceTotal Paid
    Medicare$211.6K
    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.

    25 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…330$90$29.4K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…110$260$29K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…60$400$24.4K
    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…210$120$24.3K
    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…320$60$19.7K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…40$460$19.6K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…20$790$12.6K
    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…140$70$9.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…150$40$5.5K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.190$30$5.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043285310200$160$60.7K
    25609266020$1,640$29.6K
    64708132030$260$28.2K
    992148,81432,760140$90$25K
    647211019030$420$17.8K
    110425321,000100$70$17.4K
    260555521030$310$15K
    992135,11730,01080$60$12K
    6471847020$460$10K
    9920471019,04040$110$7K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aldo GonzalezFLFoot & Ankle Surgery Podiatrist$2.1M$0
    Mcgregor LottFLOphthalmology Physician$1.8M$0
    Orlando CedenoFLFoot Surgery Podiatrist$1.7M$0
    Frederick ShulerFLSpecialist$740.5K$0
    Ehsan EsmaeiliFLSurgery of the Hand (Surgery) Physician$691.3K$0
    Charles TomanFLOrthopaedic Surgery Physician$673.8K$0
    Brian BurroughFLInterventional Pain Medicine Physician$657.3K$0
    Thomas SealesFLAdult Reconstructive Orthopaedic Surgery Physician$631.2K$0
    Jason BooleFLOtolaryngology Physician$616K$0
    Brandon CookFLOrthopaedic Surgery Physician$572.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Care, IncFLGeneral Acute Care Hospital$0$18.4M
    Sunil GuptaFLRetina Specialist (Ophthalmology) Physician$11.4M$36.1K
    Ryan TarantolaFLRetina Specialist (Ophthalmology) Physician$5.5M$0
    John MyersFLRetina Specialist (Ophthalmology) Physician$5.4M$0
    Interventional Therapeutics Institute, LLCFLAmbulatory Surgical Clinic/Center$2.8M$7.6K
    Coyt RountreeFLRadiation Oncology Physician$2.5M$0
    Rami OweraFLMedical Oncology Physician$2.3M$0
    Ahmet OzkokFLOphthalmology Physician$2.1M$193.6K
    Jamal JoudehFLMedical Oncology Physician$2.1M$0
    Endoscopy Group LLCFLAmbulatory Surgical Clinic/Center$1.6M$253.9K

    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. Florida Distribution
    James Piorkowski — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida