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    OpenPayerNPI Medicare & MedicaidJohn Nawa
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    John Nawa — Billing Profile & Reimbursement Data

    NPI 1073516233 · Ephrata, PA · Diagnostic Radiology Physician

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    John Nawa is a diagnostic radiology physician provider located in Ephrata, Pennsylvania. This profile covers 17 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
    OrganizationJohn Nawa
    Address169 Martin Ave
    CityEphrata
    StatePA
    ZIP17522
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicare$91.2K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…930$40$32.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…930$30$26.1K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…860$10$7.7K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)210$20$4.3K
    77081Dual energy X–ray absorptiometry (DXA) is a method that providers use to measure the amount of minerals per unit area of bone, referred to as bone mineral density (BMD). Bone is made up of various…410$10$4.1K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…150$30$4K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.130$30$3.4K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.30$110$2.8K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…60$40$2.1K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20$60$890

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067100580330$50$24.2K
    7706395570340$30$15.7K
    741771,0121,040110$70$10.7K
    70450935960160$30$6.7K
    7708031420130$10$3.8K
    190834717020$160$3.4K
    710459561,210290$10$3K
    9397068684040$50$3K
    7706616639050$40$2.9K
    770654642060$30$2.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Kibem KimPARadiation Oncology Physician$845.4K$0
    Navesh SharmaPARadiation Oncology Physician$266.7K$0
    Jamel ReidMDDiagnostic Radiology Physician$261.4K$0
    Imanual Somers-dehaneyPADiagnostic Radiology Physician$237.3K$0
    Ori ShokekPARadiation Oncology Physician$229.4K$0
    Brendan WatersVADiagnostic Radiology Physician$224.8K$0
    Howard SillMDVascular & Interventional Radiology Physician$216.3K$170
    Charles BaraxPADiagnostic Radiology Physician$115.2K$66.2K
    Stephen LowePADiagnostic Radiology Physician$158.9K$4.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ephrata Community HospitalPAGeneral Acute Care Hospital$0$8.1M
    Midatlantic Endoscopy LLCPAAmbulatory Surgical Clinic/Center$697.3K$0
    Tony VanetessePAPain Medicine (Anesthesiology) Physician$189K$7.2K
    Eric VilbertPADiagnostic Radiology Physician$104.2K$1.4K
    Sharon SwierczynskiPAAnatomic Pathology Physician$67.1K$480
    John JosephPAPulmonary Disease Physician$61.8K$0
    John MinglePANeurology Physician$60.2K$0
    Samuel LaPADiagnostic Radiology Physician$56K$0
    Sandy ImperialPAAnatomic Pathology Physician$40.8K$0
    Jonathan YoungwirthPAFamily Medicine Physician$38.8K$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
    John Nawa — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania