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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Spitzer
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    Matthew Spitzer — Billing Profile & Reimbursement Data

    NPI 1770743999 · Greenfield, MA · Endocrinology, Diabetes & Metabolism Physician

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    Matthew Spitzer is a endocrinology, diabetes & metabolism physician provider located in Greenfield, Massachusetts. This profile covers 36 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 Spitzer
    Address329 Conway St
    CityGreenfield
    StateMA
    ZIP01301
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJune 11, 2008

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

    Payer SourceTotal Paid
    Medicare$138.8K
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…660$100$62.4K
    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…100$120$11.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$130$9.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…200$30$5.7K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…220$30$5.6K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.130$40$5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.600$10$4.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…280$20$4.5K
    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…60$70$4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…60$50$3.1K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8448192040$20$15.9K
    9921463215,410110$80$15.6K
    99490175230180$50$12.8K
    823062944040$30$10.1K
    992151,7126,36040$120$8.9K
    992137,67513,70070$60$8.8K
    839701921020$40$8.4K
    844435565050$20$8.2K
    8006122972080$10$8.1K
    8005317869040$10$7.8K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valley Medical Group, P.C.MAFamily Medicine Physician$0$9.9M
    Valley Medical Group, P.C.MAAmbulatory Surgical Clinic/Center$280.8K$10K
    Michael ReevesMAFamily Medicine Physician$235K$1.9K
    Marguerite GumpMAFamily Medicine Physician$214.3K$3.2K
    Niloufar ShoushtariMAInternal Medicine Physician$217.2K$0
    Kharmen Lopez Del CastilloMAFamily Medicine Physician$196.2K$0
    Robert VigdermanMAInternal Medicine Physician$193.6K$0
    Valley Medical Group, P.C.MAClinical Medical Laboratory$80.2K$109.1K
    Steven EsrickMAFamily Medicine Physician$186.9K$1.1K
    Jennifer DepieroMAFamily Medicine Physician$169.9K$880

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinical & Support Options, IncMACommunity/Behavioral Health Agency$0$147.7M
    Baystate Franklin Medical CenterMAGeneral Acute Care Hospital$0$29.1M
    Lifepath, Inc.MAAdult Care Home Facility$0$19.7M
    Lifepath, Inc.MACase Management Agency$0$18.7M
    Community Health Center Of Franklin County IncorporatedMAFederally Qualified Health Center (FQHC)$0$9.4M
    Lifepath, Inc.MAPersonal Care Attendant$0$8.7M
    Servicenet IncMAAddiction (Substance Use Disorder) Counselor$0$8M
    Franklin Mri Center LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$285.4K$849.2K
    Suzanne SmithMAAddiction Medicine (Internal Medicine) Physician$78.7K$587.5K
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K

    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. Massachusetts Distribution
    Matthew Spitzer — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts