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    OpenPayerNPI Medicare & MedicaidDaniel Sparks
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    Daniel Sparks — Billing Profile & Reimbursement Data

    NPI 1730133067 · Rainbow City, AL · Orthopaedic Surgery Physician

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    Daniel Sparks is a orthopaedic surgery physician provider located in Rainbow City, Alabama. This profile covers 15 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
    OrganizationDaniel Sparks
    Address3102 Rainbow Dr
    CityRainbow City
    StateAL
    ZIP35906
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicare$121.9K
    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.

    15 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$930$36.1K
    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$930$14.9K
    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…170$80$13.9K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose120$100$12.4K
    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…200$60$11.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…90$90$7.5K
    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…150$50$7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.250$30$6.4K
    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…50$100$5.5K
    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…40$70$2.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475121030$710$23.4K
    992142,9707,330120$80$16.8K
    271307311020$620$16.8K
    J732473070$100$13.3K
    992131,3806,47080$50$7.9K
    206114213050$70$6.3K
    2061014760060$50$5.1K
    992041,0343,75030$100$4.8K
    992038192,21030$70$3.1K
    992129301,24030$30$2.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James SmithALOrthopaedic Surgery Physician$251.8K$0
    Kyle MartinosNMPhysical Therapist$129.1K$0
    Christopher KelleyALAdult Reconstructive Orthopaedic Surgery Physician$114.9K$0
    Daniel RyanALSports Medicine (Orthopaedic Surgery) Physician$107.8K$0
    Danny SparksALOrthopaedic Surgery Physician$76.1K$0
    Quinn MillingtonALClinical Electrophysiology Physical Therapist$40.7K$0
    Randall HuletTNPhysical Therapist$40.2K$0
    Darin WhiteGAClinical Electrophysiology Physical Therapist$39.4K$0
    Michael MorrisALPain Medicine (Physical Medicine & Rehabilitation) Physician$28K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Etowah PediatricsALPediatrics Physician$0$4.8M
    Amedisys Hospice, L.L.C.ALCommunity Based Hospice Care Agency$0$2.3M
    Harshad PatelALInternal Medicine Physician$226K$0
    Michael CazenaveALPhysical Therapist$114.5K$0
    John PadulaALPodiatrist$84.1K$0
    Alabama Cvs Pharmacy, L.L.C.ALPharmacy$66.8K$0
    Jordan HolderALFamily Nurse Practitioner$51.6K$0
    Erin SparksALPhysical Therapist$37.8K$0
    Jason JunkinsALInternal Medicine Physician$36K$0
    April KingALOptometrist$10.4K$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. Alabama Distribution
    Daniel Sparks — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama