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    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Phipps
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    Thomas Phipps — Billing Profile & Reimbursement Data

    NPI 1558513564 · Orlando, FL · Sports Medicine (Internal Medicine) Physician

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    Thomas Phipps is a sports medicine (internal medicine) physician provider located in Orlando, Florida. This profile covers 16 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
    OrganizationThomas Phipps
    Address25 W Crystal Lake St
    CityOrlando
    StateFL
    ZIP32806
    TaxonomySports Medicine (Internal Medicine) Physician
    NPI EnumeratedOctober 21, 2008

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

    Payer SourceTotal Paid
    Medicare$299K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg15,900$10$95.4K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…740$90$65.8K
    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…750$50$38K
    27369The provider injects contrast material into the knee joint prior to contrast knee arthrography or contrast–enhanced CT or MRI knee arthrography to enhance the internal structures such as cartilage,…170$140$22.8K
    97813The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by electrical stimulation for an initial…600$40$21K
    97814The provider pierces the skin using one or more needles and stimulates anatomical points on or in the skin by manipulating the needles by electrical stimulation. This code represents each additional…600$30$17.4K
    73580In this procedure, the provider performs imaging supervision and interpretation of a knee joint study. The provider injects contrast material into the knee joint and takes a series of X–rays as it…170$90$15.5K
    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…130$90$10.8K
    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…100$70$7K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose90$60$5.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73206503,550$10$39K
    97814410280$30$14.4K
    9921313,26230,01080$60$12K
    97813310240$30$12K
    2736943050$140$9.7K
    7358053060$90$7.6K
    J73218518090$60$7.5K
    20610632,83060$50$7K
    77002858040$80$7K
    992031,39211,72040$70$4.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Orthopaedic Outpatient Surgery Center LLCFLAmbulatory Surgical Clinic/Center$1.1M$0
    Roxanne WalkowiakFLOptometrist$262.1K$14.5K
    Alfred MousaFLPhysical Therapist$256.2K$0
    Robert MarkensonMOOrthopaedic Surgery Physician$253.2K$0
    Lee MorettiFLMedical Physician Assistant$168.8K$0
    Maciej CzerskiFLPhysical Therapist$158.2K$0
    Onsi DeriasFLPhysical Therapist$156.4K$0
    Nagendra KoneruILRadiation Oncology Physician$127.6K$0
    Bryan ReussFLSports Medicine (Orthopaedic Surgery) Physician$125.3K$0
    Melissa WorsfoldFLSurgical Physician Assistant$93.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Health, Inc.FLGeneral Acute Care Hospital$0$105.5M
    Orlando Health Medical Group IncFLInternal Medicine Physician$0$57.6M
    Emergency Physicians Of Central Florida LLPFLEmergency Medicine Physician$0$50M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.5M
    Orlando Physicians Network IncFLInternal Medicine Physician$0$9.4M
    Elia MavrofridesFLOphthalmology Physician$6.2M$240
    Samuel HoustonFLOphthalmology Physician$4.2M$39.3K
    Matthew CunninghamFLOphthalmology Physician$4M$1.8K
    Eric FeinsteinFLOphthalmology Physician$3.4M$1.5K

    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
    Thomas Phipps — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida