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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRick Papandrea
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    Rick Papandrea — Billing Profile & Reimbursement Data

    NPI 1952383531 · Pewaukee, WI · Orthopaedic Surgery Physician

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    Rick Papandrea is a orthopaedic surgery physician provider located in Pewaukee, Wisconsin. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRick Papandrea
    AddressN15w28300 Golf Rd
    CityPewaukee
    StateWI
    ZIP53072
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedNovember 18, 2005

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

    Payer SourceTotal Paid
    Medicare$98K
    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
    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…40$1,030$36.9K
    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…240$60$15.5K
    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…110$90$10K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.270$30$6.7K
    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…130$50$6.5K
    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.…20$280$5.1K
    23120In a partial claviculectomy, or Mumford procedure, the provider incises the shoulder and removes part of the collarbone to relieve pain from chronic joint conditions, like arthritis and arthrosis.20$220$3.9K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…40$100$3.7K
    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$2.8K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…20$140$2.6K

    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
    23472106020$670$16K
    992143,6839,80080$70$9.2K
    992136409,38060$50$4.7K
    2098592030$100$4.5K
    2343051020$220$4.1K
    992041,7543,39030$100$3.7K
    2061012581040$40$3.1K
    992032,2642,82030$60$2.4K
    732218814030$70$2.4K
    2312011020$130$2.1K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mitchell KlementWIOrthopaedic Surgery Physician$211.2K$0
    Andrew VoWIPhysical Medicine & Rehabilitation Physician$208K$2.9K
    William DaviesWIOrthopaedic Surgery Physician$203.8K$0
    Robert ZoellerWIPhysical Medicine & Rehabilitation Physician$194.9K$0
    Scott SchneiderWIOrthopaedic Surgery Physician$177.1K$0
    Daniel HolubWIOrthopaedic Surgery Physician$153.2K$0
    Paul JohnsonWIOrthopaedic Surgery Physician$152.5K$0
    Matthew BongWIOrthopaedic Surgery Physician$145.9K$0
    Mick KellyWIOrthopaedic Surgery Physician$121.4K$0
    Christopher KilianWIOrthopaedic Surgery Physician$116.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic Surgery Center LLCWIAmbulatory Surgical Clinic/Center$966.5K$0
    Bobbi DurstWIPsychiatric/Mental Health Nurse Practitioner$25.2K$125.2K
    Jeffrey CoppageWIOrthopaedic Hand Surgery Physician$83K$0
    Jon EnglundWISports Medicine (Family Medicine) Physician$69.9K$0
    Anton SellaWIFoot & Ankle Surgery Podiatrist$67.3K$0
    Shawn SanicolaWIPodiatrist$65.5K$0
    James FoleyWIOrthopaedic Hand Surgery Physician$60.9K$0
    Laith Al-shihabiWIOrthopaedic Hand Surgery Physician$59.3K$0
    Hongsheng ZhuWIOrthopaedic Surgery Physician$54.3K$0
    Thomas VieheWIOrthopaedic Surgery Physician$53.1K$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.

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