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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCasey Halpern
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    Casey Halpern — Billing Profile & Reimbursement Data

    NPI 1710185525 · Philadelphia, PA · Neurological Surgery Physician

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    Casey Halpern is a neurological surgery physician provider located in Philadelphia, Pennsylvania. This profile covers 11 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
    OrganizationCasey Halpern
    Address801 Spruce St
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJuly 3, 2007

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

    Payer SourceTotal Paid
    Medicare$229.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61867In this procedure, the provider removes a portion of the skull or he may create burr holes in the skull. He then uses the stereotactic method, which makes use of a three dimensional coordinate system…40$2,050$90.4K
    0398TN/A40$1,130$48.7K
    61886The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on…50$760$40.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…120$150$17.8K
    61868In this add on procedure, the provider has removed a portion of the skull or he may create burr holes in the skull. He then uses the stereotactic method, which makes use of a three dimensional…30$420$13.5K
    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…90$90$7.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$110$3.4K
    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…30$110$3.1K
    95984The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…60$40$2.3K
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…30$40$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6186711040$1,930$77.3K
    0398T11040$1,130$48.7K
    6188621030$670$23.5K
    9921412,73523,230100$80$14.5K
    6186811030$400$12.8K
    992154,1527,17040$120$8.6K
    9921319,94322,37070$60$7.7K
    992045,34510,29030$110$5K
    99205493,09020$150$4.9K
    95984122090$30$3.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Of Penn-medical GroupPAEmergency Medicine Physician$0$21.5M
    University Of Penn-medical GroupPADiagnostic Radiology Physician$0$17.7M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    Bruce SaranPAOphthalmology Physician$2.9M$0
    University Of Penn-medical GroupPAClinical Medical Laboratory$1.2M$1.3M
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Aimee KrauszPADermatology Physician$1.4M$0
    Phoebe MellenPAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality ProgressionsPACase Management Agency$0$50.8M
    Bright Beginnings Therapeutic Services, LLCPACommunity/Behavioral Health Agency$0$46.8M
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    The Pennsylvania Hospital Of The University Of Pennsylvania Health SysPAGeneral Acute Care Hospital$0$25.7M
    Philadelphia Mental Health ClinicPAClinic/Center$0$18.3M
    Philadelphia FightPAFederally Qualified Health Center (FQHC)$0$18.1M
    Public Health Mangement CorporationPAFederally Qualified Health Center (FQHC)$0$9.3M
    Addiction Medicine And Health Advocates, IncorporatedPAMethadone Clinic$56.9K$9.2M
    Assessment & Treatment AlternativesPACommunity/Behavioral Health Agency$0$9.1M

    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. Pennsylvania Distribution
    Casey Halpern — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania