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    OpenPayerNPI Medicare & MedicaidMatthew Welsh
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    Matthew Welsh — Billing Profile & Reimbursement Data

    NPI 1528471422 · Clermont, FL · Orthopaedic Hand Surgery Physician

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    Matthew Welsh is a orthopaedic hand surgery physician provider located in Clermont, Florida. This profile covers 21 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
    OrganizationMatthew Welsh
    Address1925 Don Wickham Dr
    CityClermont
    StateFL
    ZIP34711
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJune 9, 2014

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

    Payer SourceTotal Paid
    Medicare$104.4K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$25.3K
    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…220$100$20.8K
    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…230$70$15K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.30$400$11.5K
    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.170$30$4.6K
    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…30$140$3.6K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.90$40$3.6K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$30$2.7K
    25280The provider adjusts the length of a tendon in the forearm or wrist to repair damage due to injury.10$230$2.6K
    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…20$150$2.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,22232,760140$90$25K
    298486713030$440$22.2K
    971103,8103,870690$20$21.6K
    2605517921030$310$15K
    992238,15411,11060$130$12.5K
    992137,26330,01080$60$12K
    9920467419,04040$110$7K
    992225,2288,97030$100$6K
    2528051010$290$4K
    2055021197040$40$3.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sergio MartinezFLOrthopaedic Surgery Physician$356.5K$0
    Amit VarmaFLSports Medicine (Orthopaedic Surgery) Physician$169.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Lake Hospital, Inc.FLGeneral Acute Care Hospital$0$16.9M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$15.5M
    Advanced Clinical Laboratories, Inc.FLClinical Medical Laboratory$5.7M$1.8M
    Compassionate Care AdvocatesFLIn Home Supportive Care Agency$0$7.2M
    Ahmed Al-hazzouriFLMedical Oncology Physician$3.5M$0
    Shubha KollampareFLRheumatology Physician$2.1M$0
    Physicians Stat Lab Inc.FLClinical Medical Laboratory$1.9M$99.1K
    Raam SambandamFLClinical Neurophysiology Physician$1.3M$0
    Priya PrakashFLRheumatology Physician$1.2M$0
    Clermont Radiology LLCFLRadiology Clinic/Center$972.9K$6.3K

    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. Florida Distribution
    Matthew Welsh — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida