Dr. Matthew Provencher, MD

NPI: 1831162759
Total Payments
$3.4M
2024 Payments
$560,901
Companies
29
Transactions
894
Medicare Patients
4,297
Medicare Billing
$673,605

Payment Breakdown by Category

Royalty/License$2.1M (61.9%)
Other$664,342 (19.4%)
Consulting$525,755 (15.3%)
Travel$87,547 (2.6%)
Food & Beverage$16,159 (0.5%)
Research$11,570 (0.3%)
Education$174.00 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Royalty or License $2.1M 55 61.9%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $659,542 124 19.2%
Consulting Fee $525,755 157 15.3%
Travel and Lodging $87,546 222 2.6%
Food and Beverage $16,159 328 0.5%
Unspecified $11,570 4 0.3%
Honoraria $4,800 2 0.1%
Education $174.00 2 0.0%

Payments by Type

General
$3.4M
890 transactions
Research
$11,570
4 transactions

Top Paying Companies

Company Total Records Latest Year
Arthrex, Inc. $3.4M 784 $0 (2024)
Anika Therapeutics, Inc. $8,450 17 $0 (2024)
Joint Restoration Foundation, Inc. $6,692 9 $0 (2024)
Arthrosurface Incorporated $5,895 9 $0 (2020)
Flexion Therapeutics, Inc. $2,898 5 $0 (2020)
Zimmer Biomet Holdings, Inc. $1,286 5 $0 (2020)
Gemini Mountain Medical, LLC $1,132 20 $0 (2024)
DJO, LLC $525.56 6 $0 (2024)
Aesculap Biologics, LLC $369.93 4 $0 (2019)
Smith+Nephew, Inc. $284.22 5 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $560,901 117 Arthrex, Inc. ($557,479)
2023 $523,331 137 Arthrex, Inc. ($521,339)
2022 $441,651 124 Arthrex, Inc. ($439,275)
2021 $493,434 142 Arthrex, Inc. ($490,021)
2020 $335,812 88 Arthrex, Inc. ($331,441)
2019 $383,400 140 Arthrex, Inc. ($371,092)
2018 $357,358 80 Arthrex, Inc. ($356,971)
2017 $335,025 66 Arthrex, Inc. ($334,316)

All Payment Transactions

894 individual payment records from CMS Open Payments — Page 1 of 36

Date Company Product Nature Form Amount Type
12/19/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $1,034.42 General
12/16/2024 Joint Restoration Foundation, Inc. Consulting Fee Cash or cash equivalent $750.00 General
12/10/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $466.73 General
11/22/2024 Arthrex, Inc. Food and Beverage In-kind items and services $24.00 General
11/21/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $238.65 General
11/15/2024 Arthrex, Inc. Arthrex (Device), Arthrex, Arthrex Royalty or License Cash or cash equivalent $97,403.20 General
Category: Upper Extremity - Implants - Biceps - Button Fixation
11/08/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $284.97 General
11/08/2024 Joint Restoration Foundation, Inc. Food and Beverage In-kind items and services $31.55 General
11/07/2024 Arthrex, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $5,062.50 General
11/07/2024 Arthrex, Inc. Consulting Fee Cash or cash equivalent $1,312.50 General
11/07/2024 Anika Therapeutics, Inc. Kahuna (Device) Royalty or License Cash or cash equivalent $400.20 General
Category: ORTHOPEDIC
11/07/2024 Ossur Americas, Inc. Miami J (Device) Food and Beverage Cash or cash equivalent $90.12 General
Category: Bracing & Supports
10/24/2024 Arthrex, Inc. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Cash or cash equivalent $4,875.00 General
10/24/2024 Arthrex, Inc. Consulting Fee Cash or cash equivalent $2,250.00 General
10/24/2024 Arthrex, Inc. Consulting Fee Cash or cash equivalent $1,312.50 General
10/24/2024 Arthrex, Inc. Consulting Fee Cash or cash equivalent $375.00 General
10/24/2024 Arthrex, Inc. Consulting Fee Cash or cash equivalent $375.00 General
10/23/2024 Ossur Americas, Inc. Miami J (Device) Food and Beverage Cash or cash equivalent $34.09 General
Category: Bracing & Supports
10/23/2024 Arthrex, Inc. Food and Beverage In-kind items and services $24.47 General
10/18/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $277.91 General
10/16/2024 Fortis Surgical, LLC Food and Beverage In-kind items and services $50.75 General
10/08/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $570.06 General
10/01/2024 Episurf Medical, Inc. Food and Beverage In-kind items and services $23.88 General
09/12/2024 Bioventus LLC EXOGEN ULTRASOUND BONE HEALING SYSTEM (Device) Food and Beverage In-kind items and services $26.05 General
Category: DEVICES
09/04/2024 Arthrex, Inc. Travel and Lodging In-kind items and services $232.06 General

Research Studies & Clinical Trials

Study Name Company Amount Records
IIRR-01150_Biomechanical Assessment of Glenoid Reconstruction with Remplissage versus_IIBM/200 Arthrex, Inc. $10,820 3
Utilizing AI and ML to Delineate Arthroscopic Structures, Injuries, and Procedures Arthrex, Inc. $750.00 1

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 17 1,106 2,403 $1.9M $168,181
2022 18 1,139 2,596 $1.9M $178,809
2021 18 1,144 2,280 $1.7M $171,596
2020 15 908 1,758 $1.6M $155,018
Total Patients
4,297
Total Services
9,037
Medicare Billing
$673,605
Procedure Codes
68

All Medicare Procedures & Services

68 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
23472 Prosthetic repair of shoulder joint, total shoulder Facility 2023 82 83 $1.3M $96,553 7.7%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 140 172 $44,388 $11,101 25.0%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 76 80 $30,408 $7,641 25.1%
73030 X-ray of shoulder, minimum of 2 views Office 2023 181 259 $45,186 $7,160 15.8%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 80 80 $30,651 $6,364 20.8%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 49 49 $28,569 $5,906 20.7%
73721 Mri scan of leg joint without contrast Office 2023 52 55 $86,422 $4,916 5.7%
20610 Aspiration and/or injection of fluid from large joint Office 2023 75 90 $45,180 $4,425 9.8%
23430 Anchoring of biceps tendon Facility 2023 12 12 $66,140 $4,203 6.4%
29881 Removal of knee cartilage using an endoscope Facility 2023 11 11 $45,870 $3,765 8.2%
73221 Mri scan of arm joint without contrast Office 2023 32 36 $55,902 $3,628 6.5%
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance Office 2023 38 44 $29,399 $3,440 11.7%
73564 X-ray of knee, 4 or more views Office 2023 72 91 $17,660 $3,350 19.0%
77077 X-ray of joints, multiple Office 2023 72 73 $16,729 $2,666 15.9%
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope Facility 2023 11 11 $43,458 $1,486 3.4%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2023 110 1,238 $16,014 $1,038 6.5%
73560 X-ray of knee, 1-2 views Office 2023 13 19 $2,778 $539.60 19.4%
23472 Prosthetic repair of shoulder joint, total shoulder Facility 2022 77 78 $1.1M $91,159 8.0%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 159 195 $49,092 $12,575 25.6%
29827 Repair of shoulder rotator cuff using an endoscope Facility 2022 14 14 $150,016 $12,387 8.3%
73030 X-ray of shoulder, minimum of 2 views Office 2022 186 297 $50,288 $8,167 16.2%
23430 Anchoring of biceps tendon Facility 2022 18 18 $98,380 $6,591 6.7%
73221 Mri scan of arm joint without contrast Office 2022 49 51 $73,397 $6,280 8.6%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2022 77 77 $28,677 $5,459 19.0%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 54 55 $20,251 $5,429 26.8%

About Dr. Matthew Provencher, MD

Dr. Matthew Provencher, MD is a Sports Medicine healthcare provider based in Vail, Colorado. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/10/2006. The National Provider Identifier (NPI) number assigned to this provider is 1831162759.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Matthew Provencher, MD has received a total of $3.4M in payments from pharmaceutical and medical device companies, with $560,901 received in 2024. These payments were reported across 894 transactions from 29 companies. The most common payment nature is "Royalty or License" ($2.1M).

As a Medicare-enrolled provider, Provencher has provided services to 4,297 Medicare beneficiaries, totaling 9,037 services with total Medicare billing of $673,605. Data is available for 4 years (2020–2023), covering 68 distinct procedure/service records.

Practice Information

  • Specialty Sports Medicine
  • Other Specialties Sports Medicine
  • Location Vail, CO
  • Active Since 02/10/2006
  • Last Updated 03/07/2016
  • Taxonomy Code 207XX0005X
  • Entity Type Individual
  • NPI Number 1831162759

Products in Payments

  • Arthrex (Device) $750,035
  • ARTHREX (Device) $545,860
  • BIOLOGICS CONSUMABLES CARTILAGE REPAIR OCA (Biological) $359,997
  • SHOULDER IMPLANTS BICEPS REPAIR BUTTON FIXATION (Device) $355,650
  • BIOLOGICS CONSUMABLES CARTILAGE REPAIR ALLOGRAFT OCA (Biological) $101,780
  • SHOULDER SUTURE FIBERWIRE CERCLAGE (Device) $11,461
  • HemiCAP Patella-Femoral (Device) $6,549
  • Zilretta (Drug) $2,898
  • Kahuna (Device) $2,013
  • KAHUNA (Device) $1,894
  • AlignMATE (Device) $1,703
  • HemiCAP Shoulder (Device) $1,386
  • ARTHROPLASTY IMPLANTS SHOULDER ARTHROPLASTY & FRACTURE REVERS (Device) $1,125
  • PD-Knee-New Product (Device) $1,000
  • HemiCAP Patella-Femoral XL (Device) $777.23
  • SHOULDER IMPLANTS ROTATOR CUFF CUFFMEND (Device) $413.34
  • PROCARE (Device) $402.34
  • NOVOCART 3D (Device) $369.93
  • SHOULDER IMPLANTS SPEEDBRIDGE COMPOSITE ANCHORS (Device) $278.06
  • Miami J (Device) $254.68

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Sports Medicine Doctors in Vail