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NPI 1568741098 · Edison, NJ · Orthopaedic Hand Surgery Physician
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Nicholas Phillips is a orthopaedic hand surgery physician provider located in Edison, New Jersey. This profile covers 20 Medicare and 4 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 | Nicholas Phillips |
| Address | 2035 Lincoln Hwy |
| City | Edison |
| State | NJ |
| ZIP | 08817 |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| NPI Enumerated | August 15, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $115.8K |
| Medicaid | $1.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 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… | 310 | $70 | $22K |
| 23472 | In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider… | 20 | $1,260 | $20.2K |
| 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… | 150 | $110 | $15.5K |
| 27245 | In 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… | 10 | $1,070 | $12.9K |
| 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… | 60 | $130 | $7.7K |
| 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… | 100 | $60 | $5.6K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 160 | $30 | $4.9K |
| 25600 | The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at… | 20 | $300 | $4.8K |
| 99203 | The 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… | 50 | $90 | $4.5K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 120 | $30 | $4K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 6,483 | 13,640 | 130 | $90 | $23.6K |
| 23472 | 37 | 60 | 20 | $850 | $21.1K |
| 27245 | 46 | 60 | 20 | $990 | $16.9K |
| 99213 | 2,706 | 14,090 | 100 | $70 | $13.1K |
| 99223 | 3,658 | 4,980 | 50 | $140 | $11.8K |
| 20610 | 490 | 1,110 | 80 | $60 | $10K |
| 99204 | 1,997 | 7,160 | 40 | $130 | $6.5K |
| 25600 | 15 | 30 | 20 | $310 | $6.2K |
| 99203 | 2,240 | 5,660 | 40 | $80 | $4.8K |
| 20550 | 216 | 420 | 40 | $50 | $3.5K |
Showing 1–10 of 20
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.
4 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… | 10 | $70 | $800 |
| 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… | 10 | $40 | $530 |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 30 | $0 | $0 |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
4 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… | 4,319 | 4,450 | 740 | $40 | $229.8K |
| 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… | 3,729 | 3,790 | 580 | $60 | $204K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 352 | 440 | 140 | $1 | $110 |
| 99024 | The provider performs an E/M service related to and during the global period for a surgery the patient underwent. | 57 | 70 | 250 | $1 | $90 |
Other providers in the same ZIP code as Nicholas Phillips, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Care For U Plus,llc | NJ | Home Health Agency | $0 | $84.4M |
| Coordinated Family Care | NJ | Case Management Agency | $0 | $70.5M |
| Instacare Home Health Solutions LLC. | NJ | Home Health Agency | $0 | $27.8M |
| Maxim Healthcare Services, Inc. | NJ | Home Health Agency | $0 | $15.8M |
| Satyanarayan Healthcare, LLC | NJ | Adult Day Care Clinic/Center | $0 | $15.3M |
| Georgiet Afriyie | NJ | Primary Care Nurse Practitioner | $2M | $0 |
| Robert Schanzer | NJ | Cardiovascular Disease Physician | $748.5K | $0 |
| Hitesh Patel | NJ | Ophthalmology Physician | $447K | $0 |
| Robert Panebianco | NJ | Cardiovascular Disease Physician | $229.7K | $0 |
| Aron Barsky | NJ | Cardiovascular Disease Physician | $194.4K | $16.9K |
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