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    OpenPayerNPI Medicare & MedicaidNicolas Arredondo
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    Nicolas Arredondo — Billing Profile & Reimbursement Data

    NPI 1952520694 · Portland, ME · Neurological Surgery Physician

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    Nicolas Arredondo is a neurological surgery physician provider located in Portland, Maine. This profile covers 7 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
    OrganizationNicolas Arredondo
    Address195 Fore River Pkwy Ste 440
    CityPortland
    StateME
    ZIP04102
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 24, 2007

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

    Payer SourceTotal Paid
    Medicare$43.6K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$790$11.8K
    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…80$140$11K
    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…80$110$8.8K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.30$160$5K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…20$190$4.4K
    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$100$1.6K
    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…10$70$980

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6304761020$640$10.3K
    992142,3792,50070$70$7.2K
    9921510978030$100$4.8K
    992051126020$140$4K
    2285311020$190$3.8K
    9920456881030$100$3.6K
    6304811020$140$3.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy HospitalMEGeneral Acute Care Hospital$0$35.5M
    Can IlyasMEHematology & Oncology Physician$3.2M$0
    David BentonMEHematology & Oncology Physician$2.6M$0
    Matthew DuganMEHematology & Oncology Physician$1.8M$0
    John WintersMEHematology & Oncology Physician$1.5M$0
    Devon EvansMEHematology & Oncology Physician$1.5M$0
    Brian HaneyMEHematology & Oncology Physician$1.2M$0
    Yoko FukudaNHHematology & Oncology Physician$945K$0
    James LindleyGANeurological Surgery Physician$369.2K$0
    Kevin AmmarGANeurological Surgery Physician$330.9K$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. Maine Distribution
    Nicolas Arredondo — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine