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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMax De Carvalho
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    Max De Carvalho — Billing Profile & Reimbursement Data

    NPI 1982912622 · Hays, KS · Orthopaedic Surgery of the Spine Physician

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    Max De Carvalho is a orthopaedic surgery of the spine physician provider located in Hays, Kansas. This profile covers 27 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
    OrganizationMax De Carvalho
    Address2500 Canterbury Dr Ste 112
    CityHays
    StateKS
    ZIP67601
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedSeptember 15, 2010

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

    Payer SourceTotal Paid
    Medicare$153.9K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,130$18.1K
    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…30$570$15.4K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,200$14.4K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$890$12.4K
    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…260$40$11.4K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$850$11K
    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…130$70$9K
    22514The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$330$7.6K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$420$7.5K
    22513The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a…20$350$7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22612274030$1,720$56.9K
    2251361020$1,450$26.1K
    22551142020$730$18.3K
    2251421020$1,010$17.1K
    992142,1144,310120$70$16.4K
    22558101020$500$14K
    27236172020$650$13.5K
    63047237020$390$13.4K
    27245203020$660$13.3K
    22614374050$180$10.9K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hays Medical Center, Inc.KSRural Health Clinic/Center$0$2.3M
    Don WynnTXPulmonary Disease Physician$1.4M$0
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Hays Medical Center, Inc.KSInternal Medicine Physician$0$1.1M
    Uma GunigantiOKCardiovascular Disease Physician$797.5K$0
    Hays Medical Center IncKSGeneral Acute Care Hospital$0$595.8K
    Matthew MalloryARRadiation Oncology Physician$570.4K$0
    Surekha BoddipalliILHematology & Oncology Physician$430.7K$0
    Roy BryanCADiagnostic Radiology Physician$417.1K$90
    Son TruongKSPulmonary Disease Physician$386.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Max De Carvalho, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Developmental Services Of Northwest Kansas, Inc.KSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$71.6M
    Link IncKSHome Health Agency$0$31.4M
    High Plains Mental Health CenterKSCommunity/Behavioral Health Agency$0$14.9M
    High Plains Mental Health CenterKSMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    First Care Clinic, Inc.KSFederally Qualified Health Center (FQHC)$0$4.1M
    Kvc Hospitals IncKSPsychiatric Residential Treatment Facility$0$3.7M
    Homestead Of Hays Operations LLCKSAssisted Living Facility$0$2.5M
    Developmental Services Of Northwest Kansas, Inc.KSCase Management Agency$0$2.4M
    Med-trans CorporationKSAir Ambulance$1.4M$0
    Donald TillmanKSDermatology Physician$1.1M$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. Kansas Distribution
    Max De Carvalho — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas