Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Owen
    Ask Trek AI about this page

    Matthew Owen — Billing Profile & Reimbursement Data

    NPI 1760827901 · Birmingham, AL · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Matthew Owen — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Matthew Owen is a orthopaedic surgery physician provider located in Birmingham, 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Owen
    Address1313 13th St S
    CityBirmingham
    StateAL
    ZIP35205
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 1, 2013

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

    Payer SourceTotal Paid
    Medicare$158.2K
    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.

    15 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…560$60$33.3K
    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$1,030$25.7K
    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…30$920$23.9K
    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$780$13.9K
    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…280$50$12.8K
    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…140$90$12K
    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…130$70$8.9K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…50$140$6.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.260$20$6.1K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.30$140$4.3K

    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
    2744710921030$710$23.4K
    29827369020$870$19.2K
    992143,3387,330120$80$16.8K
    23472135020$680$14.3K
    992132796,47080$50$7.9K
    206105760060$50$5.1K
    737219722030$90$3.5K
    732213117030$90$3.1K
    992031362,21030$70$3.1K
    29826228020$80$1.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin WaldropALDiagnostic Radiology Physician$633.5K$0
    Eric JanssenALSports Medicine (Orthopaedic Surgery) Physician$396.2K$0
    Michael BrooksALDiagnostic Radiology Physician$340K$0
    Ryan AaronALPhysical Medicine & Rehabilitation Physician$337.6K$0
    Michael SmithALDiagnostic Radiology Physician$311.7K$0
    Aaron ColemanALDiagnostic Radiology Physician$297.3K$0
    Kristina DonovanALPain Medicine (Physical Medicine & Rehabilitation) Physician$270.1K$0
    Brett FranklinALOrthopaedic Surgery Physician$258.5K$0
    Matthew ClaytonALAdult Reconstructive Orthopaedic Surgery Physician$252.2K$0
    Curt FreudenbergerALOrthopaedic Surgery Physician$250.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paragon Contracting Services LLCALEmergency Medicine Physician$0$54.5M
    Oral & Facial Surgery Of Al, PCALSpecialist$0$6.4M
    Pediatric Dental Associates Of Birmingham, LLCALPediatric Dentistry$0$6.1M
    University Of Alabama At BirminghamALDevelopmental Disabilities Clinic/Center$0$4.8M
    Magnolia Pediatrics South IncALPediatric Adolescent Medicine Physician$0$2.9M
    Birmingham Pediatric AssocALPediatrics Physician$0$2.5M
    Alabama Ophthalmology Associates, P.C.ALOphthalmology Physician$0$2.1M
    St. Vincent's P.e.t. Center, LLCALDiagnostic Radiology Physician$1.6M$0
    St. Vincent's BirminghamALGeneral Acute Care Hospital$0$1.3M
    Cara BondlyALHematology & Oncology Physician$986.3K$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. Alabama Distribution
    Matthew Owen — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama