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    OpenPayerNPI Medicare & MedicaidWilliam Baione
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    William Baione — Billing Profile & Reimbursement Data

    NPI 1871804211 · Somerset, NJ · Orthopaedic Surgery Physician

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    William Baione is a orthopaedic surgery physician provider located in Somerset, New Jersey. This profile covers 19 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
    OrganizationWilliam Baione
    Address2 Worlds Fair Dr
    CitySomerset
    StateNJ
    ZIP08873
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 30, 2010

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

    Payer SourceTotal Paid
    Medicare$401.1K
    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.

    19 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…90$1,120$104.8K
    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…70$1,090$81K
    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…340$100$34.6K
    J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose60$550$32.6K
    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…400$70$28.1K
    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.730$30$24.7K
    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…370$60$22.2K
    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…500$40$19.5K
    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…150$80$12.3K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$1,020$11.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475227030$1,040$51.2K
    271301719030$1,070$42.7K
    J73273711040$550$34.1K
    J732613214050$400$32K
    992143,32913,640130$90$23.6K
    27236364010$920$14.7K
    992131,84514,090100$70$13.1K
    206101301,11080$60$10K
    992041,0417,16040$130$6.5K
    992033915,66040$80$4.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Peter's University HospitalNJGeneral Acute Care Hospital$0$185.5M
    Archna ParmarNJInternal Medicine Physician$1M$0
    Stephen ZabinskiNJAdult Reconstructive Orthopaedic Surgery Physician$1M$0
    Brian VannozziNJOrthopaedic Surgery Physician$878.3K$0
    Hari BezwadaNJOrthopaedic Surgery Physician$712.1K$0
    David RodricksNJAdult Reconstructive Orthopaedic Surgery Physician$531.5K$0
    Brian CulpNJOrthopaedic Surgery Physician$519.9K$0
    Mark PizzurroNJAdult Reconstructive Orthopaedic Surgery Physician$442.4K$0
    Joseph BogdanNJAdult Reconstructive Orthopaedic Surgery Physician$415.2K$0
    Dennis NutiniNJSports Medicine (Physical Medicine & Rehabilitation) Physician$412.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rem New Jersey, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$218M
    Rwjbh Emergency Medicine Associates, LLCNJEmergency Medicine Physician$0$117.8M
    Everas Community Services, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$114.2M
    Premier Supports, LLCNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$71.4M
    Forever Young Medical Day CareNJAdult Day Care Clinic/Center$0$35.8M
    Audiology Services Company Usa, LLCNJHearing and Speech Clinic/Center$0$33.3M
    Paradise Adult Day Healthcare LLCNJAdult Day Care Clinic/Center$0$27M
    National Mentor Healthcare, LLCNJIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$10.7M
    Franklin Township Publc SchoolsNJLocal Education Agency (LEA)$0$9.3M
    Jersey Behavioral Care LLCNJMental Health Counselor$0$8.7M

    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 Jersey Distribution
    William Baione — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey