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    OpenPayerNPI Medicare & MedicaidNathan Everding
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    Nathan Everding — Billing Profile & Reimbursement Data

    NPI 1750556320 · Syracuse, NY · Orthopaedic Hand Surgery Physician

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    Nathan Everding is a orthopaedic hand surgery physician provider located in Syracuse, New York. This profile covers 24 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNathan Everding
    Address5719 Widewaters Pkwy
    CitySyracuse
    StateNY
    ZIP13214
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedApril 24, 2008

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

    Payer SourceTotal Paid
    Medicare$128.5K
    Medicaid$250

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$1,120$34.6K
    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…260$100$24.3K
    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$770$11.6K
    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…80$120$9.3K
    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…150$60$9.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.360$30$8.9K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.20$340$7.4K
    23600In this procedure, the provider performs a closed treatment of a surgical or anatomical neck fracture of the upper end of the humerus. Treatment does not include manipulation, or adjustment, of the…20$250$3.7K
    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…10$310$3.4K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…20$170$2.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298276011020$1,260$27.7K
    234722911020$1,010$27.3K
    29848568030$460$19.8K
    992146,89030,45090$100$19K
    29828293020$1,020$18.4K
    2605510713030$320$12.3K
    9921310,01031,44080$70$12.1K
    206101,0591,87060$60$7K
    992042,52814,17030$130$6.6K
    2360082020$330$4.9K

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$10$140
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.10$10$110

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…17,55019,110360$70$321K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.454470180$10$11.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brett GreenkyNYAdult Reconstructive Orthopaedic Surgery Physician$240K$290
    Michael ClarkeNYAdult Reconstructive Orthopaedic Surgery Physician$145.8K$120
    Shari FriedmanNYDiagnostic Radiology Physician$127K$5.4K
    Nicholas MooreCODiagnostic Radiology Physician$123.5K$100
    James LemleyNYOrthopaedic Hand Surgery Physician$121.6K$520
    Hilary OrlowskiTNDiagnostic Radiology Physician$60.1K$58.5K
    Jonathan GromisNYDiagnostic Radiology Physician$118K$0
    Lisa MahonNYPhysician Assistant$111.4K$0
    Aaron BiancoNYOrthopaedic Surgery of the Spine Physician$106.6K$120
    Mary ScozzariNYSurgical Physician Assistant$105.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramzi KhairallahNYRheumatology Physician$3M$48.6K
    George MtanosNYRheumatology Physician$1.9M$34.8K
    Mary AbdulkyNYRheumatology Physician$1.8M$31.5K
    Maria PasniciucNYRheumatology Physician$645.5K$9.8K
    Anthony DevincentisNYGlaucoma Specialist (Ophthalmology) Physician$235K$9.8K
    Lawson SmartNYSports Medicine (Orthopaedic Surgery) Physician$101.3K$0
    Warren WulffNYOrthopaedic Surgery of the Spine Physician$91.5K$830
    Michael FitzgeraldNYOrthopaedic Hand Surgery Physician$84.6K$610
    Frederick LemleyNYOrthopaedic Foot and Ankle Surgery Physician$68.4K$0
    Brad RaphaelNYSports Medicine (Orthopaedic Surgery) Physician$68.2K$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 York Distribution
    Nathan Everding — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Nathan Everding — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York