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    OpenPayerNPI Medicare & MedicaidEric Gallagher
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    Eric Gallagher — Billing Profile & Reimbursement Data

    NPI 1821433863 · Brattleboro, VT · Orthopaedic Surgery Physician

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    Eric Gallagher is a orthopaedic surgery physician provider located in Brattleboro, Vermont. This profile covers 11 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
    OrganizationEric Gallagher
    Address17 Belmont Ave Ste 1
    CityBrattleboro
    StateVT
    ZIP05301
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 3, 2013

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

    Payer SourceTotal Paid
    Medicare$84.9K
    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.

    11 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…30$970$28.9K
    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…10$970$13.6K
    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…290$50$13K
    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…120$50$6.1K
    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…80$60$4.5K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…40$110$4.3K
    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…120$30$4K
    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…10$280$3.6K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.50$60$2.6K
    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…30$90$2.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447213040$600$23.5K
    27130102040$640$23.1K
    6472171040$370$13.2K
    9921451696090$70$10.6K
    9921527041040$110$7.2K
    9921310191080$50$6.7K
    2098531040$110$6K
    6464021090$60$5.5K
    9920415733030$100$4.1K
    20610258060$30$3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bluewater Emergency Partners Of Brunswick, LLCMEEmergency Medicine Physician$0$3.8M
    Southwestern Vermont Medical Center Inc.VTInternal Medicine Physician$0$2.9M
    Brattleboro Memorial HospitalVTGeneral Acute Care Hospital$0$2.4M
    Andrew RothILObstetrics & Gynecology Physician$116.6K$161.3K
    Christopher KareoresMAUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$78.4K$193.8K
    David TerrellVTOphthalmology Physician$270.3K$0
    Joseph SteinILDiagnostic Radiology Physician$188.5K$120
    Alexandra Van DyckVTInternal Medicine Physician$173.2K$0
    Craig GoldbergMAFamily Medicine Physician$68.1K$104.1K
    Zachry ZichittellaMACardiovascular Disease Physician$145.9K$16.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Winston L. Prouty Center For Child Development, Inc.VTDevelopmentally Disabled Services Day Training Agency$0$5.5M
    Rescue Inc.VTAmbulance$1M$3.3M
    Habit Opco, LLCVTSubstance Use Disorder Rehabilitation Clinic/Center$463.1K$1.5M
    Lincare Inc.VTDurable Medical Equipment & Medical Supplies$0$915K
    Windham County Dental Center IncVTDental Clinic/Center$0$621.8K
    Youth Services, Inc.VTMental Health Counselor$0$600.4K
    Green Mountain Counseling AssociatesVTMental Health Counselor$0$598.2K
    Erin BerardVTMental Health Counselor$0$571.5K
    Timothy WhitneyVTMental Health Counselor$0$555.1K
    James CarewVTSocial Worker$0$489.1K

    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. Vermont Distribution
    Eric Gallagher — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont