Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Joseph Farrell (NPI 1831418912)

Field	Value
Entity Type	Individual
Organization	Joseph Farrell
Address	12100 Black Swan Drive
City	Lewes
State	DE
ZIP	19958
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 27, 2010

Payer Source	Total Paid
Medicare	$576.7K
Medicaid	$0

Key Findings

This profile is dominated by joint replacement and related orthopaedic care: the top revenue codes are 27447 (knee replacement) at $137.4K (23.9% of Medicare revenue), 27130 (hip replacement) at $68.7K (11.9%), and 99214 (established outpatient E/M) at $61.5K (10.7%). The mix of high-revenue arthroplasty codes alongside substantial E/M and injection codes indicates a practice model that performs operative joint replacements while maintaining a high-volume clinic and procedural follow-up workflow.

Revenue concentration is significant: the precomputed top-3 Medicare codes account for 46.5% of this provider’s total Medicare revenue, with 27447 alone representing 23.9% of the $576.7K Medicare total. That concentration suggests financial sensitivity to volumes of a small set of procedures (primarily hip and knee arthroplasty).

This provider is effectively single-payer in the dataset: total Medicare revenue is $576.7K while Medicaid shows none on file. The absence of any Medicaid billing indicates no measurable Medicaid engagement in the available records, which has implications for payer mix, network participation, and access to Medicaid-covered patient populations in-state.

On competitive standing for key procedures, the provider ranks strongly for knee arthroplasty: 27447 ranks #378 of 12089 nationally (97th percentile) and is described as notably above typical national volume, indicating a national-level high-volume presence for that procedure. Hip arthroplasty 27130 ranks at the 90th percentile (rank #759 of 8062) and is characterized as typical/unremarkable for volume, while primary outpatient E/M 99214 ranks #28728 of 479517 (94th percentile) and is also notably above typical national volume, reflecting substantial clinic throughput.

There are clear statistical outliers in procedural mix: 20610 (large-joint injection without ultrasound) is labeled an extreme outlier and ranks #263 of 39752 (99th percentile) with 864 claims and $46.7K revenue, signaling far higher joint injection activity than most peers. By contrast, J7329 (hyaluronan intra-articular injection) shows very high absolute claim counts (8.6K claims) and $60.4K revenue but is labeled typical/unremarkable for the code nationally (rank #97 of 962, 90th percentile), so billing volume patterns differ by code and modality.

The practice generates substantial ancillary imaging and in-office diagnostic volume, with codes such as 73564 (354 claims, $12K revenue, rank #514 of 20494, 97th percentile) and 73502 (242 claims, $8.5K revenue, rank #1314 of 33225, 96th percentile) both notably above typical national volume. This constellation of high imaging and procedural E/M suggests integrated clinic capabilities (radiography, injections, clinic visits) to support surgical and non-surgical orthopaedic care.

Tenure data show a long-established practice presence: the NPI was enumerated on 2010-05-27 (~16 years ago). That sustained enrollment timeframe, combined with high national percentiles on multiple codes, supports characterization as an experienced orthopaedic surgeon with steady Medicare activity.

From a payer-development perspective, the absence of Medicaid billing (none on file) alongside concentrated Medicare revenue may limit this provider’s leverage or participation in state Medicaid networks; contracts and access strategies should account for effectively single-payer Medicare exposure. Analysts and network teams should note the heavy reliance on arthroplasty and high-volume injections when assessing referral patterns, capacity, and reimbursement negotiations.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In 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…	130	$1,030	$137.3K
27130	In 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…	70	$1,030	$68.7K
99214	The 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…	670	$90	$61.5K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	8,630	$10	$60.4K
99213	The 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…	850	$70	$56K
20610	In 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…	860	$50	$46.7K
27446	In 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…	20	$920	$19.2K
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	20	$980	$16.6K
99204	The 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…	150	$110	$16.5K
99212	The 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,…	400	$40	$16.1K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Joseph Farrell — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	6	50	50	$810	$52K
J7329	3	20	3,550	$10	$31.1K
27130	3	40	40	$700	$28.9K
99214	223	1,830	150	$80	$25.5K
J7323	5	10	90	$100	$16.5K
27245	9	20	20	$700	$14.1K
99213	96	1,810	120	$60	$13.6K
20610	10	120	60	$50	$12.4K
29880	6	10	10	$760	$12.2K
20611	11	20	80	$80	$10.5K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
First State Orthopaedics PA	DE	Orthopaedic Surgery Physician	$0	$1.5M
William Barrish	DE	Physical Medicine & Rehabilitation Physician	$964.3K	$0
Callaway Franceschini LLC	DE	Physical Therapist	$0	$881.4K
Anush Parikh	DE	Diagnostic Radiology Physician	$651.5K	$0
Leonidas Raisis	DE	Orthopaedic Surgery Physician	$575.8K	$0
Jeremie Axe	DE	Orthopaedic Surgery Physician	$542.8K	$0
Premier Orthopaedic Bone & Joint Care	DE	Orthopaedic Surgery Physician	$0	$501.4K
Stephen Manifold	DE	Orthopaedic Surgery Physician	$488.7K	$0
Gita Pillai	DE	Orthopaedic Surgery Physician	$439.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M

Joseph Farrell — Billing Profile & Reimbursement Data

Sign up for Joseph Farrell — Billing Profile & Reimbursement Data policy alerts

Joseph Farrell — Billing Profile & Reimbursement Data

Sign up for Joseph Farrell — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References