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    OpenPayerNPI Medicare & MedicaidRobert Marchand
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    Robert Marchand — Billing Profile & Reimbursement Data

    NPI 1881658896 · Wakefield, RI · Orthopaedic Surgery Physician

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    Robert Marchand is a orthopaedic surgery physician provider located in Wakefield, Rhode Island. This profile covers 9 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
    OrganizationRobert Marchand
    Address1 High St
    CityWakefield
    StateRI
    ZIP02879
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 14, 2006

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

    Payer SourceTotal Paid
    Medicare$314.2K
    Medicaid$0

    Key Findings

    ROBERT MARCHAND is an orthopaedic surgery physician with a long Medicare billing history, having an NPI enumerated since 2006-04-14 (~20 years ago), which supports a sustained procedural practice rather than a recent entrant or short-term locum pattern. The longevity aligns with a procedure-heavy mix dominated by major joint arthroplasty and related imaging/navigation codes, indicating an established operative orthopedics practice.

    Medicare is the overwhelmingly material payer for this provider: lifetime Medicare revenue totals $314.2K while there is no Medicaid billing on file, so this profile is effectively single-payer from a public program perspective. Analysts should treat Medicaid-related competitive or access conclusions as unsupported for this provider because no in-state Medicaid activity is reported.

    Revenue concentration is high: the precomputed top three Medicare codes account for 77.7% of the provider’s total Medicare revenue, signaling that a small set of services—principally knee and hip arthroplasty plus computer-assisted navigation—drive most financial activity. This degree of concentration suggests the provider is focused on elective joint replacement procedures and associated intraoperative technologies rather than a broad mix of low-acuity office care.

    Code-level detail confirms a joint-replacement specialty orientation. Code 27447 (total knee arthroplasty) alone generates $144.1K (45.9% of Medicare revenue) and code 27130 (total hip arthroplasty) adds $71.8K (22.8%), together representing the majority of Medicare dollars. High utilization of these major arthroplasty codes, combined with imaging codes (73564, 73502) and E/M 99214, indicates the practice performs surgery and manages perioperative outpatient follow-up and imaging in-house.

    The provider’s national competitive standing on core codes is strong for certain services. For 27447 the provider ranks #333 of 12089 (97th percentile), characterized as notably above typical national volume, and for 27130 ranks #704 of 8062 (91st percentile), a high-volume but less extreme position. These ranks indicate the provider is a significant national-volume contributor for knee replacement and a prominent, though less extreme, contributor for hip replacement.

    Computer-assisted navigation (code 20985) is an outsized element of the provider’s Medicare mix: 243 claims produced $28.2K (9.0% of Medicare revenue) and the provider ranks #13 of 1390 (99th percentile), described as an extreme outlier. This combination of high navigation use with high arthroplasty volume suggests routine adoption of intraoperative navigation technology and may reflect a practice pattern that emphasizes technology-enabled joint replacements.

    While the practice performs office visits and imaging, those services are small relative to arthroplasty revenue. Code 99214 produced $27.1K (8.6% of Medicare revenue) across 285 claims and knee/hip radiography codes (73564, 73502, 73562) together contribute only a few thousand dollars, reinforcing that operative cases drive revenue while E/M and imaging are adjuncts to surgical care.

    Given the absence of Medicaid billing on file, payer-mix risk is concentrated: any business or policy changes affecting Medicare reimbursement for joint arthroplasty or for computer-assisted navigation would disproportionately impact this provider. From a network or contracting perspective, the provider should be evaluated primarily on Medicare-volume metrics and surgical quality/outcomes rather than Medicaid access or managed-care participation.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$1,040$144.1K
    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…70$1,040$71.8K
    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…240$120$28.2K
    27446In 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…30$950$27.5K
    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…290$100$27.1K
    77077The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint.230$40$8.4K
    73564In 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.120$40$4.5K
    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…50$40$1.7K
    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.30$30$890

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744715030$1,230$43K
    2713013020$1,250$33.8K
    2744611020$780$16.3K
    992142771,950100$80$11.7K
    2098511050$120$8.6K
    7707711030$40$2.5K
    73564168040$30$2.2K
    735629713050$20$1.8K
    735027915050$20$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthopedics Rhode Island, IncRIOrthopaedic Surgery Physician$0$2.5M
    Crossings Surgery Center, LLCRIAmbulatory Surgical Clinic/Center$939.1K$0
    Steven GraffRIOrthopaedic Hand Surgery Physician$67.7K$798.6K
    Orthopedics Rhode Island, IncRIOrthopaedic Surgery Physician$0$812.4K
    Thomas RoccoRISurgery Physician$92.7K$558.4K
    Orthopedics Rhode Island, Inc.RIAmbulatory Surgical Clinic/Center$565.9K$0
    Eric WalshRIOrthopaedic Hand Surgery Physician$67.9K$336.2K
    William BrennanRIOrthopaedic Surgery Physician$99.4K$301.4K
    Jason TartaglioneRIOrthopaedic Foot and Ankle Surgery Physician$61K$320.6K
    Keith MonchikRISports Medicine (Orthopaedic Surgery) Physician$70K$249.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South County Hospital Healthcare SystemRIGeneral Acute Care Hospital$0$5.3M
    Eric ProssedaRIGeneral Practice Dentistry$0$5.2M
    Joey NapolitanoRIPublic Health Dentistry$0$1.7M
    Elise JarvisRIMental Health Counselor$0$1.7M
    Rhode Island Pet Services, LLCRIMobile Radiology Clinic/Center$773.2K$497.1K
    Catherine DegoodRIAddiction Medicine (Family Medicine) Physician$3.1K$1.1M
    Emergency Physician Associates Of New England PCRIEmergency Medicine Physician$0$1M
    Ira KulmanRIClinical Neuropsychologist$0$1M
    South Kingstown School DepartmentRILocal Education Agency (LEA)$0$814K
    Emily ColyerRIEmergency Medicine Physician$36K$528.6K

    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. Rhode Island Distribution
    Robert Marchand — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island