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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Moulton
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    Mark Moulton — Billing Profile & Reimbursement Data

    NPI 1891758850 · Muskegon, MI · Orthopaedic Surgery Physician

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    Mark Moulton is a orthopaedic surgery physician provider located in Muskegon, Michigan. This profile covers 23 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
    OrganizationMark Moulton
    Address1400 Mercy Dr.
    CityMuskegon
    StateMI
    ZIP49444
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$138.9K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…20$1,330$29.2K
    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…300$60$18.2K
    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…200$90$17.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$760$12.1K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…40$290$11.7K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$550$11.5K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…40$190$8.5K
    99212The 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,…110$40$4.3K
    63052At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.20$190$4.1K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.20$160$3.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22633175020$1,020$19.4K
    22614448050$250$13.2K
    992143,57715,47080$80$11.4K
    630474810020$540$10.8K
    22842249020$490$8.9K
    992131,28814,81060$60$6.6K
    992154,3044,42030$110$6K
    228532911030$160$5.9K
    63048457030$130$5K
    992043,7466,28030$110$4.2K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthopaedic Associates Of Muskegon, PCMIOrthopaedic Surgery Physician$0$7.1M
    Tyler VossMIFamily Medicine Physician$587.7K$0
    Anthony BozzioMIOrthopaedic Surgery Physician$297.9K$0
    Joshua AndersonMIAdult Reconstructive Orthopaedic Surgery Physician$273.2K$0
    Lindsay RudertMIFamily Medicine Physician$250.9K$0
    Todd GaldesMIAdult Reconstructive Orthopaedic Surgery Physician$176.8K$0
    Yousif HamatiMIOrthopaedic Surgery Physician$145.1K$0
    Katie MccauslandMIPhysical Medicine & Rehabilitation Physician$144.1K$0
    Adam GellerMIPhysician Assistant$129.4K$0
    Scott NemecMIOrthopaedic Surgery Physician$123.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moka CorporationMIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$126.2M
    Mercy Health PartnersMIGeneral Acute Care Hospital$0$98.1M
    Senior Resources Of West MichiganMICase Management Agency$0$31.5M
    Mgh Family Health CenterMIFederally Qualified Health Center (FQHC)$0$24.4M
    Hackley Community Care Center IncMIFederally Qualified Health Center (FQHC)$0$23.1M
    Port City PediatricsMIPediatrics Physician$0$5.9M
    Radiology Muskegon PCMIDiagnostic Radiology Physician$0$5.9M
    Mercy Specialty ServicesMIInternal Medicine Physician$0$5.3M
    Paul RaphaelianMIRetina Specialist (Ophthalmology) Physician$1.5M$0
    Muskegon Sc, LLCMIAmbulatory Surgical Clinic/Center$967.6K$68.1K

    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. Michigan Distribution
    Mark Moulton — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan