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    OpenPayerNPI Medicare & MedicaidMatthew Mantell
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    Matthew Mantell — Billing Profile & Reimbursement Data

    NPI 1649561515 · Winchester, VA · Sports Medicine (Orthopaedic Surgery) Physician

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    Matthew Mantell is a sports medicine (orthopaedic surgery) physician provider located in Winchester, Virginia. This profile covers 23 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
    OrganizationMatthew Mantell
    Address128 Medical Cir
    CityWinchester
    StateVA
    ZIP22601
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedApril 27, 2011

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

    Payer SourceTotal Paid
    Medicare$218.6K
    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.

    23 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$990$36.7K
    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…280$90$26K
    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$1,150$25.2K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,570$10$20.4K
    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$15.7K
    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…230$70$15K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose40$400$14.5K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…670$20$14K
    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…120$120$13.6K
    29828The 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$400$7.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744717031040$1,150$64.4K
    298275812020$1,010$29.2K
    J330410201,380$10$28.3K
    234725910030$780$26.5K
    29828154020$970$26.2K
    992143,89012,890140$80$21K
    J7326235030$400$17.8K
    2061119523060$70$10.5K
    992132,74012,44090$60$10K
    7372117621050$100$9.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neeti BhargavaMDRheumatology Physician$756.4K$0
    Robert GalamagaAZHematology & Oncology Physician$749.9K$0
    Rashad KhanTXHematology & Oncology Physician$698.8K$0
    Denis O'brienMDOrthopaedic Surgery Physician$525.9K$0
    Louis RulandMDSports Medicine (Orthopaedic Surgery) Physician$506.3K$0
    Paul KingMDAdult Reconstructive Orthopaedic Surgery Physician$502.8K$0
    Joseph HolobinkoMDOrthopaedic Surgery Physician$481.6K$0
    Sam SydneyMDOrthopaedic Surgery Physician$442.3K$0
    Carl TalmoMAOrthopaedic Surgery Physician$421.6K$0
    Geoffrey Van FlandernMAOrthopaedic Surgery Physician$408.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grafton School, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$92M
    Winchester Medical CenterVAGeneral Acute Care Hospital$0$69.9M
    Grafton School IncVAPsychiatric Residential Treatment Facility$0$33M
    Shenandoah Valley Community Residences, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.4M
    Compassionate Home CareVAIn Home Supportive Care Agency$0$14.5M
    Nova Family Services, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.5M
    Uncle Sam Transportation LLCVATaxi$0$12M
    National Counseling Group, IncVAMental Health Counselor$0$11.2M
    Pediatrix Medical Group PCVANeonatal-Perinatal Medicine Physician$0$10.8M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M

    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. Virginia Distribution
    Matthew Mantell — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia