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    OpenPayerNPI Medicare & MedicaidThomas St John
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    Thomas St John — Billing Profile & Reimbursement Data

    NPI 1710941851 · Flemington, NJ · Orthopaedic Surgery of the Spine Physician

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    Thomas St John is a orthopaedic surgery of the spine physician provider located in Flemington, New Jersey. 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
    OrganizationThomas St John
    Address8100 Wescott Drive
    CityFlemington
    StateNJ
    ZIP08822
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedApril 14, 2006

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

    Payer SourceTotal Paid
    Medicare$219.8K
    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
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose130$410$52.4K
    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$35.3K
    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…330$110$34.1K
    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…430$60$25.5K
    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…10$1,140$14.8K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.50$180$9.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.230$40$9.5K
    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…110$80$9.2K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…140$50$6.9K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…160$30$5.3K

    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
    2713015619030$1,070$42.7K
    J73262914050$400$32K
    992143,48313,640130$90$23.6K
    7214819635070$130$14.7K
    992131,33414,090100$70$13.1K
    770029714030$100$10.2K
    206101051,11080$60$10K
    992036855,66040$80$4.8K
    205531013030$50$3.3K
    735645764040$30$2.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hunterdon Orthopedic Institute PANJOrthopaedic Surgery Physician$0$9.8M
    Manish ViradiaNJNeurology Physician$3.7M$0
    Philip GlassnerNJOrthopaedic Surgery Physician$338.8K$0
    Michael PollackNJOrthopaedic Surgery Physician$314.8K$0
    Christopher CarusoNJOrthopaedic Surgery Physician$233.2K$0
    Robert MoreNJOrthopaedic Surgery Physician$186.6K$0
    Aleya SalamNJPain Medicine (Physical Medicine & Rehabilitation) Physician$185.7K$0
    Richard ChangNJOrthopaedic Surgery Physician$87.4K$0
    Patrick WangPAOrthopaedic Surgery Physician$77.9K$0
    Jerome DeckerNJOrthopaedic Hand Surgery Physician$73K$0

    Nearby Providers

    Other providers in the same ZIP code as Thomas St John, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hunterdon Medical CenterNJGeneral Acute Care Hospital$0$40.3M
    Coaching For IndependenceNJCommunity/Behavioral Health Agency$0$11.7M
    Catholic Charities, Diocese Of MetuchenNJCommunity/Behavioral Health Agency$0$10.5M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$8.8M
    High Point Partial Care, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$8.8M
    Myron BednarNJHematology & Oncology Physician$2.5M$0
    Hunterdon Endosurgery CenterNJAmbulatory Surgical Clinic/Center$614.3K$829.2K
    Hunterdon Center For Surgery, LLCNJAmbulatory Surgical Clinic/Center$853.9K$338K
    Megha ShahNJHematology & Oncology Physician$964.3K$0
    Andrey EspinozaNJCardiovascular Disease Physician$888.2K$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. New Jersey Distribution
    Thomas St John — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey