Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSeth Cooper
    Ask Trek AI about this page

    Seth Cooper — Billing Profile & Reimbursement Data

    NPI 1609165547 · Wesley Chapel, FL · Orthopaedic Trauma Physician

    Customize your policy alerts

    Sign up for Seth Cooper — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Seth Cooper is a orthopaedic trauma physician provider located in Wesley Chapel, Florida. This profile covers 27 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSeth Cooper
    Address2352 Bruce B Downs Blvd Ste 102
    CityWesley Chapel
    StateFL
    ZIP33544
    TaxonomyOrthopaedic Trauma Physician
    NPI EnumeratedMarch 31, 2011

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

    Payer SourceTotal Paid
    Medicare$259.1K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$1,040$38.6K
    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…500$70$32.3K
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg4,030$10$28.2K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$1,040$22.9K
    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$90$18.9K
    27245In 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…20$990$16.9K
    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…130$120$15.2K
    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…240$60$13.7K
    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$970$11.6K
    0055TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using computed tomography, or CT, or magnetic…60$200$11K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744733779030$1,230$58.9K
    2713034459030$1,150$43.6K
    J7329341202,150$10$27.2K
    9921412,52732,760140$90$25K
    2724512929020$780$15.5K
    2723614319020$750$13.6K
    0055T133050$200$13.5K
    992132,98530,01080$60$12K
    2061124462060$80$9K
    206104502,83060$50$7K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Seth Cooper, 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
    South Lake Hospital, Inc.FLGeneral Acute Care Hospital$0$16.9M
    Orlando Health Central, Inc.FLGeneral Acute Care Hospital$0$12.5M
    Orlando Physicians Network IncFLInternal Medicine Physician$0$9.4M
    Yuanbin ChenFLMedical Oncology Physician$2.7M$0
    Florida Medical Clinic, LLCFLClinical Medical Laboratory$2.5M$7.3K
    David SikesFLRheumatology Physician$2.2M$0
    Susmitha ApuriFLMedical Oncology Physician$1.9M$0
    Amarilis TorresFLRheumatology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pasco-pinellas Hillsborough Community Health System IncFLGeneral Acute Care Hospital$0$7.7M
    Ahmad TarabishyFLOphthalmology Physician$2.2M$2.4K
    Pasco-pinellas Hillsborough Community Health System IncFLAmbulance$981.4K$466K
    Alfred WhiteFLOphthalmology Physician$1.4M$0
    Evan DunnFLOphthalmology Physician$861.7K$640
    Edgar RamirezFLInterventional Pain Medicine Physician$578.7K$0
    Surgery Center Of Florida, LLCFLAmbulatory Surgical Clinic/Center$533.7K$0
    Clinic Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$414.4K$0
    Gary ClaymanFLSurgery Physician$189.4K$0
    Brian WickerFLSurgical Physician Assistant$144.1K$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. Florida Distribution
    Seth Cooper — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida