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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWataru Tamura
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    Wataru Tamura — Billing Profile & Reimbursement Data

    NPI 1073658365 · Seattle, WA · Gastroenterology Physician

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    Wataru Tamura is a gastroenterology physician provider located in Seattle, Washington. This profile covers 13 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
    OrganizationWataru Tamura
    Address11027 Meridian Ave N
    CitySeattle
    StateWA
    ZIP98133
    TaxonomyGastroenterology Physician
    NPI EnumeratedFebruary 21, 2007

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

    Payer SourceTotal Paid
    Medicare$77.1K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$150$18.8K
    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…150$90$13.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$190$8.2K
    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…30$220$7.4K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…30$250$7.3K
    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…60$110$7.1K
    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.70$70$4.5K
    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…20$130$2.5K
    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…20$140$2.4K
    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…20$110$1.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538527238070$290$31K
    453806437060$190$16.4K
    9641314116080$110$15K
    992143,73610,860100$80$13.6K
    G01054322030$280$10.2K
    4323914637060$120$9.3K
    992153,4864,32040$120$8.4K
    4622191030$220$7.6K
    432487011030$180$7K
    992138,2969,69060$60$6.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$756.5K$0
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$497.1K$2.4K
    John CarpenterWAAnatomic Pathology & Clinical Pathology Physician$485.9K$0
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$347.6K$67.5K
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$351.1K$0
    Sittilerk TrikalsaransukhWAGastroenterology Physician$268.9K$0
    Richard EllowayWAGastroenterology Physician$53.3K$149.8K
    Melissa Bluestein-rogersWAFamily Nurse Practitioner$201.9K$0
    Teresa AbernathyWAFamily Nurse Practitioner$161.7K$0
    Stephanie RomineWAFamily Nurse Practitioner$128.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$16.2M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$11.5M
    Shoreline Fire DepartmentWALand Ambulance$350.3K$10.2M
    Uw Medicine NorthwestWAGeneral Acute Care Hospital$0$5.7M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.7M
    Therapeutic Health ServicesWAMethadone Clinic$0$3.3M
    David DruckerWARetina Specialist (Ophthalmology) Physician$1.8M$0
    Sharel OngchinWAOphthalmology Physician$1.3M$0
    Kristi BaileyWAOphthalmology Physician$937.7K$0
    Vinod DoreswamyWAAllergy & Immunology Physician$702.1K$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. Washington Distribution
    Wataru Tamura — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington