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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Tapscott
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    Robert Tapscott — Billing Profile & Reimbursement Data

    NPI 1588737878 · Decatur, AL · Sports Medicine (Orthopaedic Surgery) Physician

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    Robert Tapscott is a sports medicine (orthopaedic surgery) physician provider located in Decatur, Alabama. This profile covers 37 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
    OrganizationRobert Tapscott
    Address1103 16th Ave Se
    CityDecatur
    StateAL
    ZIP35601
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedNovember 16, 2006

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

    Payer SourceTotal Paid
    Medicare$269.1K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In 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…40$1,050$38.7K
    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…570$60$34.2K
    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…30$940$29.2K
    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…650$40$28.1K
    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…190$100$19.1K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$790$14.2K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$860$10.3K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,300$10$9.1K
    64721Neuroplasty 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…30$290$7.9K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.350$20$7.7K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J330441401,700$10$28.5K
    274478421030$710$23.4K
    29827369020$870$19.2K
    992145,4507,330120$80$16.8K
    64721256030$400$14.6K
    2347235020$680$14.3K
    J732542701,470$10$12.8K
    27236233010$600$8.3K
    992231,0242,14040$130$8.1K
    992132596,47080$50$7.9K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic CenterALOrthopaedic Surgery Physician$0$2.8M
    Hh Physician CareALInternal Medicine Physician$0$2.7M
    Brian SchollALOrthopaedic Surgery Physician$547K$0
    Christopher ParksALAdult Reconstructive Orthopaedic Surgery Physician$507K$0
    John Rodriguez-feoALOrthopaedic Surgery of the Spine Physician$470.2K$0
    Bradley WillsALOrthopaedic Surgery Physician$440.2K$0
    Larry ParkerALOrthopaedic Surgery of the Spine Physician$392.8K$0
    Matthew SmithALSports Medicine (Orthopaedic Surgery) Physician$336.3K$0
    John BoyettALOrthopaedic Surgery Physician$303.8K$0
    Thomas ThomassonALOrthopaedic Surgery Physician$293.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hawkins Mccaghren PartnershipALGeneral Practice Dentistry$0$13.5M
    Encore Rehabilitation, IncALPhysical Therapy Clinic/Center$0$8.3M
    Sunbridge Home Health Care, Inc.ALIn Home Supportive Care Agency$0$7.8M
    H H Health System-morgan LLCALGeneral Acute Care Hospital$0$6.9M
    Decatur Morgan PediatricsALPediatrics Physician$0$3.6M
    Riverside Family Health LLCALFamily Nurse Practitioner$0$3.3M
    Decatur Morgan Emergency MedicineALEmergency Medicine Physician$0$2.9M
    Encore Rehabilitation, Inc.ALPhysical Therapy Clinic/Center$0$2.6M
    Hh Health System - Dmh Ambulance LLCALLand Ambulance$1.1M$1.4M
    Naveen LoboALMedical Oncology Physician$2.4M$0

    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. Alabama Distribution
    Robert Tapscott — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama