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    OpenPayerNPI Medicare & MedicaidDylan Estes
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    Dylan Estes — Billing Profile & Reimbursement Data

    NPI 1003278144 · Vergennes, VT · Family Medicine Physician

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    Dylan Estes is a family medicine physician provider located in Vergennes, Vermont. This profile covers 10 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
    OrganizationDylan Estes
    Address10 North St
    CityVergennes
    StateVT
    ZIP05491
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 28, 2016

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

    Payer SourceTotal Paid
    Medicare$44K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$70$14.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$120$9.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$6.8K
    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…130$50$6.3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…20$140$2.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.260$10$2.1K
    G0009Administration of pneumococcal vaccine30$30$700
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…70$10$630
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…20$10$140
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921423596090$70$10.6K
    G04398024050$120$8.3K
    90677288020$270$6.8K
    9921331291080$50$6.7K
    9949532020$120$2K
    3641530160100$10$1.3K
    9637281040$10$1.3K
    G0009247020$30$610
    830366123040$10$520
    810024610020$1$110

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White River Health System, Inc.ARGeneral Acute Care Hospital$0$22.3M
    White River Health System, Inc.ARCritical Access Hospital$0$3.3M
    White River Health System, Inc.ARRural Health Clinic/Center$0$3.1M
    White River Health System, IncARAnesthesiology Physician$0$2.6M
    Jasen ChiARRheumatology Physician$1.5M$0
    Porter Hospital, IncVTFamily Medicine Physician$0$1.3M
    Paul UngerVTHematology & Oncology Physician$744.6K$0
    Lakshman GollapalliAZInterventional Pain Medicine Physician$483K$0
    Gregory AprillianoNHCertified Registered Nurse Anesthetist$0$478K
    Terry FletcherARPain Medicine (Anesthesiology) Physician$419.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Dylan Estes, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vergennes Area Rescue Squad Inc.VTAmbulance$111.1K$244.8K
    David CongaltonVTDentist$0$177.4K
    Daniel HuberVTFamily Medicine Physician$92.2K$0
    Specialeyes Professional Eye Care Services, PLLCVTOptometrist$0$87.1K
    Kph Healthcare Services, Inc.VTCommunity/Retail Pharmacy$74.7K$0
    Amanda Dingman-pariniVTClinical Psychologist$0$64.3K
    Karen FromholdVTGeneral Practice Physician$36.7K$0
    Joel PalmerVTChiropractor$27.2K$0
    Shauna MckeonVTAdult Health Nurse Practitioner$23K$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. Vermont Distribution
    Dylan Estes — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont