MARK SPRAGUE, M.D.
Orthopaedic Trauma Physician · PITTSFIELD, MA
Individual Active NPI 1003942699
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 161 | 720 | $187,599 | $71,540 | $54,905 |
| 2023 | 179 | 754 | $231,384 | $84,414 | $64,483 |
| 2022 | 181 | 696 | $163,455 | $66,638 | $50,823 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 138 | $36 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 108 | $92 | $66 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 44 | $1 | $1 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 43 | $128 | $90 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 23 | $113 | $74 |
| 73562 | X-ray of knee, 3 views | 20 | $51 | $37 |
| 20610 | Aspiration and/or injection of fluid from large joint | 16 | $70 | $51 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $168 | $128 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 14 | $1,436 | $1,144 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 11 | $1,019 | $822 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ✓ | 223398 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Orthopaedic Trauma Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.