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    OpenPayerNPI Medicare & MedicaidJoseph Vernace
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    Joseph Vernace — Billing Profile & Reimbursement Data

    NPI 1932105798 · Bryn Mawr, PA · Adult Reconstructive Orthopaedic Surgery Physician

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    Joseph Vernace is a adult reconstructive orthopaedic surgery physician provider located in Bryn Mawr, Pennsylvania. This profile covers 17 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Vernace
    Address101 S Bryn Mawr Ave
    CityBryn Mawr
    StatePA
    ZIP19010
    TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
    NPI EnumeratedJune 24, 2005

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

    Payer SourceTotal Paid
    Medicare$362.6K
    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.

    17 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…150$1,090$162.6K
    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…40$1,090$46.7K
    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…140$170$24.1K
    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…310$70$20.7K
    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…150$130$19.6K
    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.580$30$19.2K
    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…290$50$15.5K
    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…120$120$14.3K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.490$30$13.2K
    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…100$90$8.8K

    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
    274471754030$930$41K
    271308836030$950$31.3K
    9921411,98223,230100$80$14.5K
    992158587,17040$120$8.6K
    992132,20722,37070$60$7.7K
    206102501,98060$50$6.7K
    9920462710,29030$110$5K
    99205283,09020$150$4.9K
    992033,1167,33030$70$3.5K
    992122,8044,72030$40$2.3K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaleidoscope Family Solutions, Inc.PACommunity/Behavioral Health Agency$0$78.3M
    Resources For Human Development, Inc.PACommunity/Behavioral Health Agency$0$30.7M
    Kaleidoscope Family Solutions Aba Inc.PABehavior Analyst$0$9.8M
    Sameer GuptaPAHematology & Oncology Physician$2.9M$0
    Donald MillerPARheumatology Physician$2.2M$0
    John DevlinPAHematology & Oncology Physician$2M$0
    Bmmsa Heart & Vascular Center Of The Main LinePAAmbulatory Surgical Clinic/Center$1.9M$0
    Stephanie FlaggPARheumatology Physician$1.6M$0
    Academic Urology Of PA, LLCPAAmbulatory Surgical Clinic/Center$1.5M$0
    Sean CurranPACardiovascular Disease Physician$1.4M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Joseph Vernace — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania