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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Longenecker
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    Stephen Longenecker — Billing Profile & Reimbursement Data

    NPI 1548262355 · West Reading, PA · Orthopaedic Surgery Physician

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    Stephen Longenecker is a orthopaedic surgery physician provider located in West Reading, Pennsylvania. This profile covers 27 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 Longenecker
    Address301 S 7th Ave Ste 365
    CityWest Reading
    StatePA
    ZIP19611
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedAugust 11, 2005

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

    Payer SourceTotal Paid
    Medicare$543.9K
    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.

    27 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…160$1,010$161K
    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…70$1,010$65.5K
    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…660$90$62.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…630$90$54.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…290$140$39.7K
    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…520$70$34K
    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$26K
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg2,980$10$20.9K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…130$110$14.6K
    0054TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using fluoroscopy. A provider uses this service…70$180$11.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274471154030$930$41K
    271303936030$950$31.3K
    J7329551103,020$10$29.7K
    J330464701,570$10$27.6K
    9921491523,230100$80$14.5K
    64640192070$70$11.6K
    992152727,17040$120$8.6K
    20611231050$80$7.9K
    9921393022,37070$60$7.7K
    206109871,98060$50$6.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tower Health Medical GroupPAEmergency Medicine Physician$0$8M
    William CanoPAPhysical Medicine & Rehabilitation Physician$284.6K$0
    Shawn WhitePAUrology Physician$283.5K$0
    Arun KundraPAClinical Cardiac Electrophysiology Physician$257.8K$8.3K
    Kenneth McalpinePAOrthopaedic Surgery Physician$261.8K$0
    Shuaib LatifCTClinical Cardiac Electrophysiology Physician$248.6K$10.8K
    Melissa HerbeinPAFamily Nurse Practitioner$247.2K$0
    Li-hong LuPAPhysical Medicine & Rehabilitation Physician$243.3K$0
    John StelmachPAOrthopaedic Surgery Physician$233.3K$0
    David ScollanPAClinical Cardiac Electrophysiology Physician$203.8K$5.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reading HospitalPAGeneral Acute Care Hospital$0$58.4M
    Penn State Health Medical Group, LLCPAPediatrics Physician$0$7.7M
    New Directions Treatment ServicesPAMethadone Clinic$0$6.3M
    Tower Direct LLCPALand Ambulance$1.4M$1.9M
    William KimmelPAAnatomic Pathology & Clinical Pathology Physician$1.7M$131.8K
    Eric SlotkinPAOrthopaedic Surgery Physician$360.4K$0
    Nathan TiedekenPAOrthopaedic Surgery Physician$247.9K$0
    Brian TinsleyPAOrthopaedic Hand Surgery Physician$244.9K$0
    Ryan MichelsPAOrthopaedic Trauma Physician$206.9K$0
    Brian StapinskiPAOrthopaedic Surgery Physician$195K$620

    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. Pennsylvania Distribution
    Stephen Longenecker — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania