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

    NPI 1811944143 · Alexandria, VA · Adult Reconstructive Orthopaedic Surgery Physician

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    William Hamilton is a adult reconstructive orthopaedic surgery physician provider located in Alexandria, Virginia. This profile covers 18 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
    OrganizationWilliam Hamilton
    Address2501 Parkers Ln
    CityAlexandria
    StateVA
    ZIP22306
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedMay 30, 2006

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

    Payer SourceTotal Paid
    Medicare$396.6K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…150$1,150$166K
    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…70$1,110$74K
    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…470$70$33.6K
    0054TThe provider uses a computer equipped with surgical navigation technology to help guide and validate the type and position of an orthopedic implant using fluoroscopy. A provider uses this service…130$210$27.9K
    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…140$130$18.2K
    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…170$100$17.4K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…10$1,040$12.4K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.230$40$9.6K
    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…220$40$9.2K
    72170In this procedure, the provider takes one or two X–ray images of the pelvic bone to check for any fracture, swelling, or reason of pain in the pelvis.360$20$8.5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274479031040$1,150$64.4K
    27130321040$1,040$45.9K
    27446162020$1,340$37.6K
    992145,66012,890140$80$21K
    0054T11060$190$12.9K
    9921395412,44090$60$10K
    206106601,16060$50$6.1K
    992044436,85040$110$5.9K
    992039224,92030$70$3.8K
    992121,6602,83030$40$2.3K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Kevin FrickaVAAdult Reconstructive Orthopaedic Surgery Physician$481K$0
    Robert SershonVAAdult Reconstructive Orthopaedic Surgery Physician$464.9K$0
    Bradley WillsALOrthopaedic Surgery Physician$440.2K$0
    Corey WallachVAOrthopaedic Surgery of the Spine Physician$394.4K$0
    Sandeep BaglaVAVascular & Interventional Radiology Physician$393K$0
    William JohnsonMSOrthopaedic Surgery Physician$392K$0
    Craig McaseyVAAdult Reconstructive Orthopaedic Surgery Physician$342.2K$0
    Ryan HubbardVASports Medicine (Family Medicine) Physician$335.3K$0
    Jordan WernerNJOrthopaedic Surgery Physician$334.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$39.3M
    Access Home Care, IncVAHome Health Agency$0$25.5M
    Neighborhood HealthVAFederally Qualified Health Center (FQHC)$0$5.8M
    Soren CaffeyVAHematology & Oncology Physician$1.1M$0
    Mark SchefkindVAOphthalmology Physician$641.8K$0
    Ramatia MahboobiVAPain Medicine (Anesthesiology) Physician$393.8K$0
    Christina BraunVASpecialist$392.9K$0
    Carleen TylendaVAInternal Medicine Physician$383.8K$0
    Stephanie CarterVAInternal Medicine Physician$367.3K$0
    Leland GilmoreVAPodiatrist$306.3K$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. Virginia Distribution
    William Hamilton — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia