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Provider profile

SOUSA, PAUL M.D.

Orthopedic Surgery · NPI 1275915332 · BUCKEYE, AZ

2
Groups
29
Codes · 2024
11,677
Disclosed services

SOUSA, PAUL is a Orthopedic Surgery in BUCKEYE, AZ, a member of 2 medical groups, who billed 29 distinct codes to Medicare Part B in 2024.

Groups: CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC (SUN CITY, AZ) · ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC (SCOTTSDALE, AZ) — member of 2 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Year: 2024 · 2023 · 2022 🔒 · 2021 🔒 · 2020 🔒

Provider overview · all codes · CY2024

11,677
disclosed services
29
codes billed to Medicare Part B
Prior year · CY2023 16,259 disclosed services

This provider's disclosed Medicare payments across all codes were in CY2024.

Dollars, place-of-service mix, business mix and national standing are part of the market analytics platform — built, not launched yet. Notify me at launch →

All figures are disclosed (CMS suppresses fewer-than-11-beneficiary rows) Medicare Part B fee-for-service — a subset, never complete totals; volumes are personal to this NPI, not attributed to any group. Standing is a billed-volume position among specialty peers with disclosed billing (national percentile; a provider's true standing can only be higher, never lower), not a statement about care. See Methods & Sources.

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
This provider's Medicare volumes — services, beneficiary-episodes, and charges — are part of the market analytics platform — built, not launched yet. Notify me at launch →
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
20610 Aspiration and/or injection of fluid from large joint
73502 X-ray of hip, 2-3 views
73564 X-ray of knee, 4 or more views
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
73562 X-ray of knee, 3 views
98977 Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days
27130 Replacement of thigh bone and hip joint with prosthesis
98975 Set-up and patient education for remote monitoring of therapy
27447 Replacement of knee joint, both sides of knee
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month
73522 X-ray of both hips, 3-4 views
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.
73560 X-ray of knee, 1-2 views
73552 X-ray of thigh bone, minimum 2 views
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
20985 Computer-assisted surgery for muscle and bone procedure
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis
27245 Treatment of broken neck of thigh bone with bone implant
27446 Replacement of knee joint on side of knee
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
99425 Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month
27134 Revision of thigh bone and hip joint prosthesis

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.