Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Hughes
    Ask Trek AI about this page

    Peter Hughes — Billing Profile & Reimbursement Data

    NPI 1942399886 · Stamford, CT · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Peter Hughes — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Peter Hughes is a orthopaedic surgery physician provider located in Stamford, Connecticut. This profile covers 16 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPeter Hughes
    Address1281 E Main St
    CityStamford
    StateCT
    ZIP06902
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 11, 2006

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

    Payer SourceTotal Paid
    Medicare$132K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$70$31.8K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…250$90$23.4K
    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…210$90$19.3K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose160$100$15.6K
    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…20$1,020$15.3K
    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…50$100$4.8K
    99203The provider sees a new 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 provider…50$80$4.3K
    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.130$30$4.1K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…110$40$4.1K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.50$80$4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744711616020$1,320$39.6K
    992141,5286,48090$90$14.2K
    J732484080$100$9.5K
    206111111040$90$8.4K
    992132866,44070$60$8.1K
    992046272,66030$120$4.6K
    992035942,25030$80$3.5K
    7356410227040$30$2K
    735624131040$20$1.6K
    G018017238020$40$1.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Medical Of Upper East Side, PLLCNYUrgent Care Clinic/Center$0$641.6M
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Edward RutkovskyNYInternal Medicine Physician$2.1M$10.3K
    Matthew WeisslerNYHematology & Oncology Physician$1.7M$90
    Michael SchekallMNDiagnostic Radiology Physician$1.7M$710
    John MccormickNJDiagnostic Radiology Physician$1.5M$0
    Nimish DhariaNYCardiovascular Disease Physician$1.4M$37.4K
    Douglas BrylkaNYRadiology Clinic/Center$1.3M$0
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Svetlana KrasnokutskyNYRheumatology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stamford HospitalCTGeneral Acute Care Hospital$0$139.9M
    Stamford Emergency Medical Services, Inc.CTLand Ambulance$1.5M$6.3M
    Mvc CtCTSurgery Physician$0$2.7M
    Dva Renal Healthcare IncCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    Yoo Jin ShinCTPediatric Dentistry$0$1.7M
    Rainbow Pediatrics, LLCCTPediatrics Physician$0$1.6M
    Emergency Medicine Physicians Of Fairfield County, LLCCTEmergency Medicine Physician$0$1.6M
    South End Dental Center PCCTGeneral Practice Dentistry$0$1.5M
    Child Guidance Center Of Southern Connecticut, Inc.CTCommunity/Behavioral Health Agency$0$1.5M
    Andrews Adade Md, PCCTPediatric Adolescent Medicine Physician$0$1.5M

    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. Connecticut Distribution
    Peter Hughes — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut