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    OpenPayerNPI Medicare & MedicaidDavid Reynolds
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    David Reynolds — Billing Profile & Reimbursement Data

    NPI 1003829474 · Honesdale, PA · Gastroenterology Physician

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    David Reynolds is a gastroenterology physician provider located in Honesdale, Pennsylvania. This profile covers 18 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
    OrganizationDavid Reynolds
    Address1860 Fair Ave.
    CityHonesdale
    StatePA
    ZIP18431
    TaxonomyGastroenterology Physician
    NPI EnumeratedAugust 15, 2006

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

    Payer SourceTotal Paid
    Medicare$194.7K
    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.

    18 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…680$90$58.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…120$200$22.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.280$70$19.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…150$110$16.6K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk80$180$14.4K
    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…210$60$12.6K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…100$120$11.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$130$10.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…90$100$9.1K
    99204The provider sees a new 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 provider…70$120$7.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538515486050$290$24.3K
    96413178300140$100$19.8K
    9921485223,230100$80$14.5K
    453806684040$180$12.5K
    G01056450030$270$12.4K
    432393088050$130$9.6K
    992151,7407,17040$120$8.6K
    G012119738020$270$8.1K
    992134,04022,37070$60$7.7K
    43248811030$170$6.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Wright Center Medical GroupPAFederally Qualified Health Center (FQHC)$0$106.1M
    Julio RamosPARheumatology Physician$1.4M$550
    Samir PancholyPAInterventional Cardiology Physician$485.6K$0
    Haitham AbughniaPAInternal Medicine Physician$439.5K$0
    Ryan CristelliPAAnatomic Pathology & Clinical Pathology Physician$311.1K$0
    Alan ShienbaumNJAnatomic Pathology & Clinical Pathology Physician$302.4K$1.1K
    Eric SmithPAInternal Medicine Physician$131.4K$0
    Elmo BaldassariPAFoot & Ankle Surgery Podiatrist$107.4K$1.7K
    Michael YoderPAAnatomic Pathology & Clinical Pathology Physician$104.9K$200
    Anurag BajajSDCardiovascular Disease Physician$86.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wayne Memorial Community Health CentersPAFederally Qualified Health Center (FQHC)$0$17.1M
    Wayne Memorial Community Health CentersPAFederally Qualified Health Center (FQHC)$0$10.5M
    Wayne Memorial HospitalPAGeneral Acute Care Hospital$0$9.2M
    Mountain Laurel Surgery Center, LLCPAAmbulatory Surgical Clinic/Center$618.5K$445.8K
    Medical Shoppe LtdPAPharmacy$104.7K$789.2K
    Philip LiuPAOtolaryngology Physician$468.7K$0
    Glenn WoodleyPAFoot & Ankle Surgery Podiatrist$268.1K$280
    Sean McveighPAPulmonary Disease Physician$108.8K$0
    Walter KaniefskiPAEmergency Medicine Physician$47.3K$4K
    Melissa GibbletsPAOccupational Therapist$32.6K$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. Pennsylvania Distribution
    David Reynolds — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania