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    OpenPayerNPI Medicare & MedicaidMatthew Bennett
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    Matthew Bennett — Billing Profile & Reimbursement Data

    NPI 1831118199 · Johnson City, NY · Orthopaedic Surgery Physician

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    Matthew Bennett is a orthopaedic surgery physician provider located in Johnson City, New York. This profile covers 20 Medicare and 2 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
    OrganizationMatthew Bennett
    Address52 Harrison St
    CityJohnson City
    StateNY
    ZIP13790
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$78.5K
    Medicaid$15.3K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$210$12.1K
    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…130$90$11.5K
    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…70$100$7.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…70$100$6.6K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$100$5.7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$70$4.7K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…70$70$4.6K
    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…60$60$3.7K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…30$110$3.4K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…60$60$3.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    646355024030$430$19.9K
    9921412,42230,45090$100$19K
    6448318341050$220$17.9K
    6232313739050$190$15.4K
    64633426020$440$13.3K
    6449311037040$200$13.2K
    9921318,24631,44080$70$12.1K
    7700217531030$100$10.9K
    64624122020$360$10.7K
    644906116030$200$7.8K

    Showing 1–10 of 20

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$40$15.3K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.10$10$140

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,37616,550220$90$186.8K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.638080$90$37.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Health Services Hospitals, Inc.NYGeneral Acute Care Hospital$0$163M
    Chenango Memorial Hospital IncNYGeneral Acute Care Hospital$0$30.7M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Aqeel HaidarNCAnatomic Pathology & Clinical Pathology Physician$1.6M$0
    Shilpa SambidiNYHematology & Oncology Physician$847.8K$39.4K
    James LimNYDiagnostic Radiology Physician$670.7K$3.5K
    Khalid SethiNYNeurological Surgery Physician$423.8K$31.6K
    Daniel WelchonsNYUrology Physician$435.9K$5.8K
    James LeeNYHematology & Oncology Physician$352.3K$25.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert EgbersNYMOHS-Micrographic Surgery Physician$476.3K$0
    Kevin HastingsNYPain Medicine Physician$176.7K$0
    Hisham KashouNYCardiovascular Disease Physician$144.8K$11.9K
    Owais AhmedNYInterventional Cardiology Physician$123.4K$11.8K
    Michail VitellasNYCardiovascular Disease Physician$120.4K$10.7K
    Thomas GudasNYNeuroradiology Physician$90K$24.6K
    Afzal RehmanNYInterventional Cardiology Physician$100.1K$2.1K
    Lisa CeruttiNYPhysical Therapist$96.3K$0
    Keyoor PatelNYCardiovascular Disease Physician$81K$14.6K
    Mark WilsonNYOrthopaedic Surgery Physician$85.5K$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. New York Distribution
    Matthew Bennett — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Matthew Bennett — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York