Loading...
NPI 1871791673 · Wynnewood, PA · Orthopaedic Surgery Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
David Vegari is a orthopaedic surgery physician provider located in Wynnewood, Pennsylvania. This profile covers 14 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Vegari |
| Address | 100 E Lancaster Ave |
| City | Wynnewood |
| State | PA |
| ZIP | 19096 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | July 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $189.5K |
| Medicaid | $410 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 60 | $1,020 | $57.3K |
| 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… | 460 | $100 | $44.2K |
| 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… | 30 | $1,040 | $33.3K |
| 20985 | A 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… | 90 | $120 | $10.2K |
| 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… | 150 | $70 | $9.9K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 110 | $80 | $9K |
| 73564 | In 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. | 150 | $40 | $6.2K |
| 73502 | In 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… | 140 | $40 | $5K |
| 99203 | The 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… | 60 | $80 | $4.8K |
| 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… | 20 | $120 | $2.7K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 121 | 540 | 30 | $930 | $41K |
| 27130 | 139 | 360 | 30 | $950 | $31.3K |
| 99214 | 2,121 | 23,230 | 100 | $80 | $14.5K |
| J7323 | 243 | 260 | 80 | $100 | $10.6K |
| 20611 | 95 | 310 | 50 | $80 | $7.9K |
| 99213 | 5,807 | 22,370 | 70 | $60 | $7.7K |
| 20610 | 1,147 | 1,980 | 60 | $50 | $6.7K |
| 20985 | 4 | 30 | 20 | $120 | $5.3K |
| 99204 | 6,240 | 10,290 | 30 | $110 | $5K |
| 99222 | 6,264 | 7,850 | 30 | $100 | $4.3K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $30 | $410 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 7,347 | 8,160 | 210 | $60 | $68.4K |
Other providers in the same ZIP code as David Vegari, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Main Line Hospitals, Inc. | PA | General Acute Care Hospital | $0 | $17.2M |
| Red Lion Home Care | PA | Home Health Agency | $0 | $17.2M |
| Amber Sobuto | PA | Internal Medicine Physician | $1.2M | $0 |
| Matthew Halpern | PA | Dermatology Physician | $1.2M | $0 |
| Gary Gordon | PA | Rheumatology Physician | $873.9K | $0 |
| Tanya Harari | PA | Rheumatology Physician | $659.8K | $0 |
| Thomas Harder | PA | Rheumatology Physician | $603.7K | $0 |
| Stephen Gollomp | PA | Neurology Physician | $465.4K | $0 |
| George Martin | PA | Allergy & Immunology Physician | $456.5K | $0 |
| Jason Bradley | PA | Cardiovascular Disease Physician | $366.9K | $0 |
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.