David Fehnel — Billing Profile & Reimbursement Data
NPI 1609854215 · Peabody, MA · Adult Reconstructive Orthopaedic Surgery Physician
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David Fehnel is a adult reconstructive orthopaedic surgery physician provider located in Peabody, Massachusetts. This profile covers 17 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Fehnel |
| Address | 1 Orthopedic Dr |
| City | Peabody |
| State | MA |
| ZIP | 01960 |
| Taxonomy | Adult Reconstructive Orthopaedic Surgery Physician |
| NPI Enumerated | January 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $294.9K |
| 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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $1,190 | $87K |
| 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… | 600 | $100 | $58.4K |
| 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… | 520 | $70 | $35.6K |
| 29827 | The 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… | 30 | $880 | $25.6K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 680 | $30 | $20.3K |
| 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… | 360 | $50 | $19K |
| 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… | 80 | $120 | $9.4K |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 640 | $10 | $8.3K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 20 | $370 | $5.5K |
| 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… | 60 | $80 | $5.1K |
Showing 1–10 of 17
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 23472 | 4 | 80 | 20 | $880 | $25.5K |
| J3304 | 42 | 50 | 1,280 | $10 | $24.5K |
| 29827 | 20 | 80 | 20 | $930 | $21.4K |
| 99214 | 793 | 15,410 | 110 | $80 | $15.6K |
| 29828 | 13 | 30 | 20 | $850 | $15.3K |
| 99213 | 667 | 13,700 | 70 | $60 | $8.8K |
| 29824 | 11 | 20 | 20 | $270 | $6.5K |
| 20610 | 71 | 980 | 60 | $50 | $5.8K |
| 99204 | 971 | 5,870 | 30 | $120 | $5.6K |
| 29823 | 13 | 50 | 20 | $210 | $5.2K |
Showing 1–10 of 17
Nearby Providers
Other providers in the same ZIP code as David Fehnel, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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