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    OpenPayerNPI Medicare & MedicaidSebastian Peers
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    Sebastian Peers — Billing Profile & Reimbursement Data

    NPI 1609039502 · Carmel, IN · Orthopaedic Surgery Physician

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    Sebastian Peers is a orthopaedic surgery physician provider located in Carmel, Indiana. This profile covers 20 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
    OrganizationSebastian Peers
    Address13431 Old Meridian St Ste 225
    CityCarmel
    StateIN
    ZIP46032
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 10, 2008

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

    Payer SourceTotal Paid
    Medicare$97K
    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.

    20 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…20$1,050$17.8K
    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…210$80$17.2K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…680$20$12.2K
    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…200$60$12.1K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…100$70$7.4K
    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…150$40$6.1K
    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…60$100$6K
    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…20$260$4.5K
    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…60$70$4.1K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.60$30$1.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    647217910030$420$16.2K
    992143,42810,540110$80$15.5K
    234726311020$650$14.9K
    975301,1281,250340$20$12.7K
    971104481,470420$20$10.5K
    992132,18910,82080$50$7.6K
    992041,1934,69030$100$4.9K
    206102041,00050$40$4.6K
    992038493,49030$70$3.1K
    29823324020$190$3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Kacy RogersINNurse Practitioner$643.1K$0
    Vuppala ReddyINInternal Medicine Physician$516.3K$0
    Timothy LenardoILRheumatology Physician$457.4K$33.2K
    Chirag PatelINOphthalmology Physician$389.9K$0
    Shantilal PatelINCardiovascular Disease Physician$303.5K$0
    Krishna NamburiINCardiovascular Disease Physician$301.3K$1K
    Shashikumar GowdaINCritical Care Medicine (Internal Medicine) Physician$293.1K$0
    Stephen FernINOrthopaedic Surgery Physician$283.6K$0
    Anand BhuptaniINPulmonary Disease Physician$278.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspire Indiana Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$26.2M
    Landmark Recovery Of Carmel LLCINSubstance Abuse Rehabilitation Facility$0$26.2M
    Little Star Center, Inc.INEarly Intervention Provider Agency$0$22.7M
    Arrow Consultation Services, Inc.INDevelopmentally Disabled Services Day Training Agency$0$10.5M
    Indiana University Health North Hospital IncINGeneral Acute Care Hospital$0$6.9M
    Option Care Enterprises, Inc.INHome Infusion Therapy Pharmacy$0$5.2M
    Impact Physician Group, Indiana LLCINInternal Medicine Physician$0$4.2M
    Westmed, LLCINDurable Medical Equipment & Medical Supplies$0$4M
    Chinthala, PCINPsychiatry Physician$0$3.9M
    American Health Network Of Indiana, LLCINClinical Medical Laboratory$2.2M$1.6M

    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. Indiana Distribution
    Sebastian Peers — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana