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    OpenPayerNPI Medicare & MedicaidCarl Weiss
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    Carl Weiss — Billing Profile & Reimbursement Data

    NPI 1811995962 · Bethlehem, PA · Sports Medicine (Orthopaedic Surgery) Physician

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    Carl Weiss is a sports medicine (orthopaedic surgery) physician provider located in Bethlehem, Pennsylvania. This profile covers 17 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
    OrganizationCarl Weiss
    Address2775 Schoenersville Rd
    CityBethlehem
    StatePA
    ZIP18017
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$185.5K
    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.

    17 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…830$60$52.4K
    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…40$1,000$42.9K
    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…20$990$17.8K
    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…340$50$15.5K
    J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose30$400$13.6K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.420$30$11.8K
    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…120$80$9.6K
    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…90$70$6.6K
    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…120$30$4K
    23120In a partial claviculectomy, or Mumford procedure, the provider incises the shoulder and removes part of the collarbone to relieve pain from chronic joint conditions, like arthritis and arthrosis.10$230$2.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744717954030$930$41K
    2713023836030$950$31.3K
    J73265611030$400$21K
    9921410,60123,230100$80$14.5K
    9921331022,37070$60$7.7K
    206101871,98060$50$6.7K
    992047,09210,29030$110$5K
    2312051010$250$4K
    992039367,33030$70$3.5K
    992121,7194,72030$40$2.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lehigh Valley HospitalPAGeneral Acute Care Hospital$0$64.3M
    Lehigh Valley Physician GroupPAFamily Medicine Physician$0$21.9M
    Lehigh Valley Physician GroupPAEmergency Medicine Physician$0$16.3M
    Lehigh Valley Hospital PoconoPAGeneral Acute Care Hospital$0$11.9M
    Family Care Centers Inc.PAInternal Medicine Physician$0$11.1M
    Hazleton Professional ServicesPAInternal Medicine Physician$0$8.3M
    Lehigh Valley Physician GroupPAPediatrics Physician$0$7.6M
    Family Care Centers IncPAFamily Medicine Physician$0$6.1M
    Lehigh Valley Physician GroupPAPediatric Emergency Medicine (Emergency Medicine) Physician$0$5.9M
    Alan ListhausPAOphthalmology Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$27.9M
    Lifepath, Inc.PAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.3M
    Progressive Physician Assoc IncPADiagnostic Radiology Physician$0$8M
    Children's Surgery Center Of Lehigh Valley, LLCPAAmbulatory Surgical Clinic/Center$0$7.2M
    St. Luke's Physician Group, Inc.PAMental Health Clinic/Center (Including Community Mental Health Center)$0$6.1M
    City Of BethlehemPALand Ambulance$876.2K$3.4M
    Sltlbk Associates, LLCPAOphthalmologic Surgery Clinic/Center$3.6M$15K
    Ellen FieldPARheumatology Physician$2.1M$0
    Joseph ZaladonisPASpecialist$1.4M$0
    David VasilyPADermatology Physician$1.1M$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. Pennsylvania Distribution
    Carl Weiss — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania