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    OpenPayerNPI Medicare & MedicaidAnthony Mechrefe
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    Anthony Mechrefe — Billing Profile & Reimbursement Data

    NPI 1912959172 · Warwick, RI · Orthopaedic Foot and Ankle Surgery Physician

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    Anthony Mechrefe is a orthopaedic foot and ankle surgery physician provider located in Warwick, Rhode Island. This profile covers 17 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Mechrefe
    Address120 Centerville Road
    CityWarwick
    StateRI
    ZIP02886
    TaxonomyOrthopaedic Foot and Ankle Surgery Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$83.8K
    Medicaid$17.6K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…360$100$35K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.250$30$6.4K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.190$30$5.9K
    28264The provider incises the capsule of a midtarsal joint in the foot to increase the range of motion and or release a joint contracture. He incises the soft tissues to treat resistant contractures of…20$290$5.2K
    27690The provider performs a single tendon transfer or transplant, such as transferring the anterior tibial tendon extensors into the midfoot. He performs the procedure to restore function lost due to…10$420$5.1K
    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…30$120$4.2K
    27687The provider releases the tendon of the gastrocnemius muscle, or outer calf muscle, to treat stiffness, tightness, or pain that prevents normal ankle movement.20$200$3.8K
    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…50$70$3.2K
    28308The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…20$190$3.1K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.10$190$2.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141861,950100$80$11.7K
    992131,1891,95070$60$7.4K
    2826411020$290$5.2K
    2769011010$420$5.1K
    206109311060$50$4.6K
    9920428474030$110$4.6K
    9920349858030$70$3.6K
    2830811020$190$3.1K
    2828511010$190$2.7K
    2765911010$190$2.1K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…230$30$7.2K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.290$20$5.2K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.240$20$3.8K
    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…60$20$1.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…8261,730220$70$75.2K
    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…1,5412,050300$50$72.3K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.1740160$30$24.4K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.2450120$30$18.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Day Kimball Medical Group IncCTFamily Medicine Physician$0$11.9M
    Garden City Treatment Center, Inc.RIEmergency Medical Services (Emergency Medicine) Physician$0$6.4M
    Orthopedics Rhode Island, IncRIOrthopaedic Surgery Physician$0$2.5M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    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

    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
    Anthony Mechrefe — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Anthony Mechrefe — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island