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    OpenPayerNPI Medicare & MedicaidMitchell Garden
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    Mitchell Garden — Billing Profile & Reimbursement Data

    NPI 1952304263 · Torrington, CT · Orthopaedic Surgery Physician

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    Mitchell Garden is a orthopaedic surgery physician provider located in Torrington, Connecticut. 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
    OrganizationMitchell Garden
    Address538 Litchfield St Ste 202
    CityTorrington
    StateCT
    ZIP06790
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 31, 2005

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

    Payer SourceTotal Paid
    Medicare$68.5K
    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
    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$110$23.9K
    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$140$17.2K
    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…120$70$9K
    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…10$670$8.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…140$40$4.8K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.60$30$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…20$60$1.2K
    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…10$80$1.2K
    72070A radiologic examination of the thoracic spine is an X–ray of the twelve chest thoracic vertebrae. An AP and lateral are basic projections. The X–rays are used in a controlled way to minimize the…20$20$390
    J1030Injection, methylprednisolone acetate, 40 mg20$10$140

    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
    992141,3706,48090$90$14.2K
    63047325010$580$9.8K
    992132,0446,44070$60$8.1K
    2061034042060$50$5.4K
    99204742,66030$120$4.6K
    992031,9102,25030$80$3.5K
    721002138030$20$940
    J103014017070$10$780
    720401216020$20$600
    72070367020$20$400

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tamer GhalyCTPain Medicine (Anesthesiology) Physician$585.8K$0
    John MullenCTOrthopaedic Surgery Physician$300.7K$0
    Megan GleasonCTOrthopaedic Surgery Physician$105.6K$0
    Michael SuomalaCTPhysical Therapist$104K$0
    John GevinskiCTSpecialist$53.3K$40

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte Hungerford HospitalCTGeneral Acute Care Hospital$0$89.4M
    Mccall Foundation, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$19.8M
    Community Health And Wellness Center Of Greater Torrington IncCTPrimary Care Clinic/Center$0$13.2M
    Neighborhood Health, Inc.CTGeneral Practice Physician$0$9.8M
    Community Health & Wellness Center Of Greater TorringtonCTFederally Qualified Health Center (FQHC)$0$7.4M
    Northwest Hills Pediatrics PCCTPediatric Adolescent Medicine Physician$0$5.7M
    The Maria Seymour Brooker Memorial, Inc.CTPediatric Dentistry$0$4.6M
    Icare Dental LLCCTGeneral Practice Dentistry$0$3.9M
    Mccall Foundation, Inc.CTSubstance Abuse Rehabilitation Facility$0$3.9M
    Synergy Advanced Healthcare LLCCTPrimary Care Nurse Practitioner$0$3.5M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Mitchell Garden — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut