Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathaniel Osborn
    Ask Trek AI about this page

    Nathaniel Osborn — Billing Profile & Reimbursement Data

    NPI 1528412236 · Daytona Beach, FL · Adult Reconstructive Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Nathaniel Osborn — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nathaniel Osborn is a adult reconstructive orthopaedic surgery physician provider located in Daytona Beach, Florida. This profile covers 24 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathaniel Osborn
    Address305 Memorial Medical Pkwy Ste 206
    CityDaytona Beach
    StateFL
    ZIP32117
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedApril 19, 2016

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

    Payer SourceTotal Paid
    Medicare$181.1K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$1,010$31.4K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…20$980$23.6K
    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…180$120$21K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…20$900$14.3K
    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…190$70$13.4K
    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…130$100$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$80$11.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$140$11.8K
    23605In this procedure, the provider performs a closed treatment of a surgical or anatomical neck fracture of the upper end of the humerus. Treatment includes manipulation, or adjustment, of the fractured…20$370$5.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…90$50$4.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2713025059030$1,150$43.6K
    9921416,45632,760140$90$25K
    272455729020$780$15.5K
    272368019020$750$13.6K
    992233,87011,11060$130$12.5K
    992138,43730,01080$60$12K
    992155,1988,55040$130$10.7K
    206101,0742,83060$50$7K
    992041,00019,04040$110$7K
    992052,7554,82030$160$6.6K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inspira Medical Centers, Inc.NJGeneral Acute Care Hospital$0$227M
    The Duluth Clinic, LtdMNMulti-Specialty Clinic/Center$0$51.7M
    Smdc Medical CenterMNGeneral Acute Care Hospital$0$35.3M
    St. Luke's Hospital Of DuluthMNGeneral Acute Care Hospital$0$26.6M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Florida Hospital Physician Group IncFLFamily Medicine Physician$0$21.4M
    Memorial Health Systems IncFLRehabilitation Hospital Unit$0$17.6M
    Memorial Hospital Flagler IncFLGeneral Acute Care Hospital$0$13.9M
    St. Mary's Hospital Of SuperiorWICritical Access Hospital$0$13.4M
    Memorial Health Systems IncFLSurgery Physician$0$7.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dna Comprehensive Therapy Services, LLCFLMental Health Clinic/Center (Including Community Mental Health Center)$0$17.5M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$17.2M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$15.4M
    County Of VolusiaFLLand Ambulance$4.4M$8.4M
    Worc Oriented Rehabilitation Center Inc.FLIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.8M
    Yong TsaiFLRheumatology Physician$1.6M$0
    Eric HarrisFLMedical Oncology Physician$1.5M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0
    Dinesh ArabFLCardiovascular Disease Physician$1.3M$0
    Thomas YuschokFLDiagnostic Radiology Physician$1.2M$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. Florida Distribution
    Nathaniel Osborn — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida