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

    NPI 1750609004 · East Syracuse, NY · Orthopaedic Trauma Physician

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    Matthew Sullivan is a orthopaedic trauma physician provider located in East Syracuse, New York. This profile covers 13 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 Sullivan
    Address6620 Fly Rd
    CityEast Syracuse
    StateNY
    ZIP13057
    TaxonomyOrthopaedic Trauma Physician
    NPI EnumeratedMay 12, 2010

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

    Payer SourceTotal Paid
    Medicare$43.8K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$960$13.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$130$12.1K
    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…110$60$7K
    27495In this procedure, the provider treats a defect in the femur using fixation implants like nails, plates, or screws to prevent future issues. She may or may not use methylmethacrylate, a type of bone…10$440$4.8K
    73552In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…70$20$1.6K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.40$20$840
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$60$770
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$20$750
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…20$30$620
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.20$20$580

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    272456610020$1,040$20.7K
    9921312,48031,44080$70$12.1K
    992231,6438,65040$150$9.3K
    2749511010$460$5.1K
    992211,4011,65020$70$2.6K
    735021,1071,55040$20$1.8K
    730301,1691,63040$20$1.5K
    7356047190040$20$1.3K
    736104041,08030$20$900
    72190405020$20$610

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert ShermanNYOrthopaedic Surgery Physician$258.5K$5K
    Kevin SetterNYOrthopaedic Hand Surgery Physician$218.7K$6.7K
    Timothy DamronNYOrthopaedic Surgery Physician$208.1K$6.5K
    Richard TallaricoNYOrthopaedic Surgery of the Spine Physician$202.7K$0
    William LavelleNYOrthopaedic Surgery Physician$152.4K$4.7K
    Ryan ConnollyNYSurgical Physician Assistant$122.3K$0
    Emil AzerNYOrthopaedic Trauma Physician$101.3K$7.2K
    Jon LoftusNYSurgery of the Hand (Plastic Surgery) Physician$64.5K$0
    Scott VanvalkenburgNYOrthopaedic Surgery Physician$36.9K$4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard ChernyNYHematology & Oncology Physician$6.3M$8.5K
    Tarek SousouNYHematology & Oncology Physician$4.2M$700
    Jeffrey KirshnerNYHematology & Oncology Physician$2.2M$290
    Syracuse Endoscopy Associates, LLCNYEndoscopy Clinic/Center$560.3K$1.1M
    Steven DuffyNYInternal Medicine Physician$1.2M$630
    Olga KligermanNYHematology & Oncology Physician$841.9K$1.7K
    K&a Radiologic Technology Services IncNYPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$638.2K$89.1K
    Tracy AlpertNYRadiation Oncology Physician$527.8K$0
    Upstate Orthopedics Ambulatory Surgery Center LLCNYAmbulatory Surgical Clinic/Center$402.5K$83.6K
    Kavitha PrezzanoNYRadiation Oncology Physician$477.3K$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
    Matthew Sullivan — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York