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    OpenPayerNPI Medicare & MedicaidWilliam Lawrence
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    William Lawrence — Billing Profile & Reimbursement Data

    NPI 1811929557 · Athens, AL · Orthopaedic Surgery Physician

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    William Lawrence is a orthopaedic surgery physician provider located in Athens, Alabama. This profile covers 23 Medicare and 1 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
    OrganizationWilliam Lawrence
    Address22454 Us Highway 72 Ste 200
    CityAthens
    StateAL
    ZIP35613
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicare$135.3K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29879The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by reshaping the articular cartilage covering its ball and socket, grinding its surface and in some cases…40$470$19.3K
    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…260$60$15.9K
    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…20$960$14.3K
    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…40$360$12.9K
    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$800$12.7K
    29876The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial…30$280$8K
    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…160$40$7.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…180$40$6.8K
    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…70$90$6.6K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…20$270$5.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744716721030$710$23.4K
    2987911040$470$19.3K
    29827469020$870$19.2K
    992144,6967,330120$80$16.8K
    2988082020$670$14.7K
    64721376030$400$14.6K
    2988142020$680$14.4K
    2987611030$280$8K
    992131,0216,47080$50$7.9K
    29824106020$290$7.2K

    Showing 1–10 of 23

    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.

    1 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…50$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    1 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…1,6401,990560$40$185.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic CenterALOrthopaedic Surgery Physician$0$2.8M
    Hh Physician CareALInternal Medicine Physician$0$2.7M
    Brian SchollALOrthopaedic Surgery Physician$547K$0
    Christopher ParksALAdult Reconstructive Orthopaedic Surgery Physician$507K$0
    John Rodriguez-feoALOrthopaedic Surgery of the Spine Physician$470.2K$0
    Bradley WillsALOrthopaedic Surgery Physician$440.2K$0
    Larry ParkerALOrthopaedic Surgery of the Spine Physician$392.8K$0
    Matthew SmithALSports Medicine (Orthopaedic Surgery) Physician$336.3K$0
    John BoyettALOrthopaedic Surgery Physician$303.8K$0
    Thomas ThomassonALOrthopaedic Surgery Physician$293.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hometown Pediatrics LLCALPediatrics Physician$0$4.3M
    Lindsey Rodriguez Dmd, LLCALPediatric Dentistry$0$1.1M
    Stevon BoyettALPhysical Medicine & Rehabilitation Physician$274.1K$0
    Diagnostic Health Mri Of Gadsden, LLCALRadiology Clinic/Center$205.4K$0
    Joseph BoyettALSports Medicine (Orthopaedic Surgery) Physician$196K$0
    Eric HatfieldALSports Medicine (Family Medicine) Physician$152.6K$0
    James StanfordALSports Medicine (Orthopaedic Surgery) Physician$144.2K$0
    Shearon CraigALPhysical Therapist$89.7K$0
    Paul PapajohnALSpecialist$75.1K$0
    Angela HooperALPhysical Therapist$63.8K$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
    William Lawrence — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    William Lawrence — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama