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    OpenPayerNPI Medicare & MedicaidMitchell Fagelman
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    Mitchell Fagelman — Billing Profile & Reimbursement Data

    NPI 1801985643 · Carrollton, TX · Orthopaedic Surgery Physician

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    Mitchell Fagelman is a orthopaedic surgery physician provider located in Carrollton, Texas. This profile covers 16 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
    OrganizationMitchell Fagelman
    Address4780 N Josey Ln
    CityCarrollton
    StateTX
    ZIP75010
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 12, 2006

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

    Payer SourceTotal Paid
    Medicare$199.2K
    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.

    16 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…50$1,110$55.4K
    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…320$80$26.7K
    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…360$70$23.1K
    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…30$820$21.2K
    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…180$120$20.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.650$30$16.2K
    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…250$50$12.3K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…30$290$7.4K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…20$210$4.6K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…30$130$3.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    234722220020$740$20.1K
    298275624020$860$19K
    992146,82032,500110$80$17.6K
    23430157020$510$11.2K
    992132,87029,79070$60$8.4K
    20680334020$420$7.6K
    9920444416,38030$110$5.6K
    206103102,48060$50$5.5K
    29824249020$250$5.1K
    992038,32610,82030$70$3.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baylor University Medical CenterTXGeneral Acute Care Hospital$0$14.7M
    Robyn OlneyTXAnatomic Pathology & Clinical Pathology Physician$7.7M$0
    Emanuela BerariTXFamily Nurse Practitioner$2.8M$0
    Armine TumyanTXRheumatology Physician$1.2M$0
    Sean MazloomFLMOHS-Micrographic Surgery Physician$1M$0
    Donald WurzburgTXInterventional Cardiology Physician$805.3K$0
    Jennifer CatherTXDermatology Physician$703.5K$0
    Andrew BinderTXCardiovascular Disease Physician$677.6K$0
    Jose RiveraTXCardiovascular Disease Physician$646.5K$0
    Michael IsaacTXCardiovascular Disease Physician$641.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey LertdilokTXFamily Nurse Practitioner$2.6M$0
    Choice Clinical Lab, LLCTXClinical Medical Laboratory$1.2M$76.8K
    Realtime Laboratories, IncTXClinical Medical Laboratory$777K$1.5K
    Metrocrest Surgery Center LPTXAmbulatory Surgical Clinic/Center$552.1K$0
    Amir AlaviTXPain Medicine (Anesthesiology) Physician$476.2K$0
    Brian FullerTXAdult Reconstructive Orthopaedic Surgery Physician$306.4K$0
    Satish VayuvegulaTXCardiovascular Disease Physician$273.5K$0
    Mark RayTXDermatology Physician$237.8K$0
    Nnamdi DikeTXNeurology Physician$225K$0
    Shikha SethiTXPhysical Medicine & Rehabilitation Physician$218.1K$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. Texas Distribution
    Mitchell Fagelman — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas