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

    NPI 1922307214 · Buffalo, NY · Orthopaedic Surgery Physician

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    Matthew Binkley is a orthopaedic surgery physician provider located in Buffalo, New York. This profile covers 15 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 Binkley
    Address462 Grider St
    CityBuffalo
    StateNY
    ZIP14215
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 25, 2011

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

    Payer SourceTotal Paid
    Medicare$95.8K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,130$27K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…30$940$25.3K
    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$850$10.1K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…30$290$8K
    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…60$90$5.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.230$20$5.3K
    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…70$60$4.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$3.6K
    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…20$120$2.3K
    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…40$50$1.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    234723711020$1,010$27.3K
    272452310020$1,040$20.7K
    9921418,96430,45090$100$19K
    27236446010$940$15K
    9921316,43031,44080$70$12.1K
    2343073020$390$9.8K
    206101,2231,87060$60$7K
    992049,99214,17030$130$6.6K
    992223,0897,87030$110$5.9K
    735021,2861,55040$20$1.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erie County Medical Center CorporationNYGeneral Acute Care Hospital$0$105.7M
    Endoscopy Center Of Western New York LLCNYAmbulatory Surgical Clinic/Center$462.5K$964K
    Andrew DunnNYDiagnostic Radiology Physician$596.3K$6.4K
    David CipollaNYDiagnostic Radiology Physician$534.2K$12.8K
    Brian RambarranNYUrology Physician$231.8K$56.8K
    Kenneth PearsenNYDiagnostic Radiology Physician$219.4K$10.2K
    Jason PericakNYDiagnostic Radiology Physician$205.8K$3.4K
    Michael BanasNYCardiovascular Disease Physician$176.9K$19K
    Sridhar RachalaNYOrthopaedic Surgery Physician$164.1K$2K
    Vijay IyerNYCardiovascular Disease Physician$158K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lasalle Ambulance IncNYLand Ambulance$2.9M$49.8M
    University Emergency Medical Services Inc.NYEmergency Medicine Physician$0$20.2M
    Horizon VillageNYSubstance Abuse Rehabilitation Facility$0$19.5M
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Miriam SilverbergNYRheumatology Physician$364.1K$0
    Ernesto Leon Velarde CarrenoNYNephrology Physician$162.9K$0
    Kathleen BoyleNYOrthopaedic Surgery Physician$76.1K$0
    Raphael BlochleNYVascular Surgery Physician$52.7K$13K
    Nicholas NaplesNYDiagnostic Radiology Physician$53.2K$5.7K
    Joseph KowalskiNYOrthopaedic Surgery Physician$56.7K$120

    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 York Distribution
    Matthew Binkley — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York