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NPI 1548289796 · Suffolk, VA · Orthopaedic Surgery Physician
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Arthur Wardell is a orthopaedic surgery physician provider located in Suffolk, Virginia. This profile covers 36 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Arthur Wardell |
| Address | 7025 Harbour View Boulevard |
| City | Suffolk |
| State | VA |
| ZIP | 23435 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $285.1K |
| Medicaid | $290 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,070 | $90 | $96.1K |
| 99213 | The 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… | 1,100 | $60 | $69K |
| 20611 | In 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… | 360 | $70 | $26.5K |
| 20610 | In 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… | 260 | $40 | $10.7K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 180 | $60 | $9.9K |
| 99204 | The 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 | $100 | $7.3K |
| 20551 | The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon. | 210 | $40 | $7.2K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 130 | $40 | $5.5K |
| 20552 | Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle. | 150 | $30 | $4.7K |
| 64721 | Neuroplasty 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… | 10 | $320 | $4.5K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 379 | 12,890 | 140 | $80 | $21K |
| J3490 | 32 | 110 | 60 | $280 | $20.5K |
| 64721 | 82 | 90 | 30 | $420 | $15.4K |
| 62323 | 126 | 150 | 60 | $170 | $14.5K |
| 97110 | 1,676 | 2,210 | 510 | $20 | $14.3K |
| J7321 | 16 | 50 | 100 | $60 | $13K |
| 20611 | 23 | 230 | 60 | $70 | $10.5K |
| 99213 | 152 | 12,440 | 90 | $60 | $10K |
| 97140 | 1,420 | 1,740 | 290 | $20 | $6.9K |
| 20610 | 164 | 1,160 | 60 | $50 | $6.1K |
Showing 1–10 of 36
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 20 | $20 | $290 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,661 | 4,010 | 290 | $50 | $199.8K |
Other providers in the same ZIP code as Arthur Wardell, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Western Tidewater Community Mental | VA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $84.4M |
| Aa&g Group Home,llc. | VA | Developmentally Disabled Services Day Training Agency | $0 | $10.8M |
| 5 Star Residential Care | VA | Community/Behavioral Health Agency | $0 | $10.6M |
| Bon Secours Surgery Center At Harbour View, LLC | VA | Ambulatory Surgical Clinic/Center | $3.2M | $226.1K |
| Snehal Damle | VA | Hematology & Oncology Physician | $1.5M | $0 |
| John Mansoor | VA | Rheumatology Physician | $767.7K | $0 |
| Megan Eshbaugh | VA | Rheumatology Physician | $697.6K | $0 |
| Julianne Orlowski | VA | Rheumatology Physician | $687.7K | $0 |
| Roshan Morbia | VA | Plastic Surgery Physician | $421.2K | $0 |
| Raman Unnikrishnan | VA | Urology Physician | $358.8K | $0 |
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