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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Werthammer
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    Matthew Werthammer — Billing Profile & Reimbursement Data

    NPI 1912133570 · Huntington, WV · Neurological Surgery Physician

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    Matthew Werthammer is a neurological surgery physician provider located in Huntington, West Virginia. This profile covers 10 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
    OrganizationMatthew Werthammer
    Address2900 1st Ave
    CityHuntington
    StateWV
    ZIP25702
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJune 9, 2009

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

    Payer SourceTotal Paid
    Medicare$104.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,260$27.7K
    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…30$600$18.6K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$610$13.5K
    99204The 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…100$100$9.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$7.6K
    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.50$160$7.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…50$140$6.6K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…30$190$5.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$100$5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$60$2.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2261231020$1,100$20.8K
    992329771,34090$60$11.9K
    6304711020$550$11K
    2284031020$500$8.4K
    9922324178030$130$7.9K
    9921517347030$110$6.8K
    6178321030$190$5.1K
    6304821020$160$4.3K
    992052821020$140$4.2K
    99204921,22030$100$4.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary's Medical Management, LLCWVFamily Medicine Physician$0$7.6M
    St Mary's Hospitalist Services, LLCWVInternal Medicine Physician$0$2.5M
    Rudy MalayilWVInterventional Pain Medicine Physician$295.1K$0
    Timothy SaxeWVInternal Medicine Physician$278.2K$0
    Sanjeev SharmaWVRadiation Oncology Physician$269K$0
    Aamir CheemaWVClinical Cardiac Electrophysiology Physician$261.6K$0
    Esam BaryunWVCardiovascular Disease Physician$251K$0
    Vivekanand NeginhalKYOrthopaedic Surgery Physician$250.5K$0
    Tammy DannOHPain Medicine (Anesthesiology) Physician$184.1K$0
    Luis BolanoWVOrthopaedic Surgery Physician$177.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary's Medical Center IncWVGeneral Acute Care Hospital$0$47.5M
    Huntington Hospitalist Group IncWVHospitalist Physician$0$26M
    Allied West Virginia Emergency Physicians PLLCWVEmergency Medicine Physician$0$8.2M
    Valley Health Systems IncWVClinical Medical Laboratory$299.4K$7M
    Wecare Medical, LLCWVOxygen Equipment & Supplies (DME)$0$1.9M
    Abbe Education And Staffing, LLCWVIn Home Supportive Care Agency$0$1.2M
    Robin AroraWVNephrology Physician$392.5K$0
    Zahid IqbalWVInternal Medicine Physician$212.5K$0
    Steven LochowWVOrthopaedic Surgery Physician$164.2K$0
    Dwight SaulleWVNeurological Surgery Physician$133K$0

    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. West Virginia Distribution
    Matthew Werthammer — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia