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    OpenPayerNPI Medicare & MedicaidDonald Condit
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    Donald Condit — Billing Profile & Reimbursement Data

    NPI 1518928423 · Grand Rapids, MI · Orthopaedic Hand Surgery Physician

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    Donald Condit is a orthopaedic hand surgery physician provider located in Grand Rapids, Michigan. This profile covers 12 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
    OrganizationDonald Condit
    Address1000 E Paris Ave Se
    CityGrand Rapids
    StateMI
    ZIP49546
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMarch 30, 2006

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

    Payer SourceTotal Paid
    Medicare$52.9K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$380$14.5K
    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…30$270$8.2K
    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…70$110$7.6K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…10$610$7.4K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…10$290$3.7K
    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…40$80$3.7K
    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…40$60$2.7K
    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…40$60$2.3K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.70$20$1.7K
    29085The provider applies a cast encasing the forearm to the palm and includes the thumb. A gauntlet cast, shaped like a glove that comes up over the wrist, treats fractures of the wrist and hand and…10$70$830

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    647213110020$410$12.4K
    9921410,73715,47080$80$11.4K
    2648041020$670$10K
    26055188020$310$9.4K
    2544761010$530$8.5K
    992139,17114,81060$60$6.6K
    992048526,28030$110$4.2K
    992031,7524,56030$70$3K
    2908581020$70$1.3K
    7313010364030$10$640

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliance Community Care PartnersMICase Management Agency$0$145.4M
    Dental Group Associates PCMIPediatric Dentistry$0$16.1M
    Pediatric Dental Specialists Of West MichiganMIPediatric Dentistry$0$11M
    Michigan Pain Consultants PCMIPain Medicine (Anesthesiology) Physician$0$9.9M
    Mitten Kids Dentistry Cascade PlcMIPediatric Dentistry$0$7.2M
    Carepoint Dental Anesthesia Group Of Michigan, PLLCMIDental Anesthesiology$0$6.4M
    Retina Specialists Of Michigan PCMIRetina Specialist (Ophthalmology) Physician$0$5.5M
    Kathleen DehornMIOphthalmology Physician$1.7M$0
    Jeffrey ZheutlinMIOphthalmology Physician$1.5M$0
    Nathan PezdaMIRetina Specialist (Ophthalmology) Physician$1.1M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Donald Condit — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan