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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaren Jeghers
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    Karen Jeghers — Billing Profile & Reimbursement Data

    NPI 1073722435 · Weymouth, MA · Physician Assistant

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    Karen Jeghers is a physician assistant provider located in Weymouth, Massachusetts. This profile covers 16 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKaren Jeghers
    Address55 Fogg Rd
    CityWeymouth
    StateMA
    ZIP02190
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$48.5K
    Medicaid$4.2K

    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.

    16 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…230$80$17.7K
    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…130$110$13.6K
    99203The provider sees a new 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 provider…90$70$6.3K
    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…90$50$5K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…40$30$1.3K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc20$50$950
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…50$20$770
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.50$20$740
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$40$670
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$510

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,98915,410110$80$15.6K
    992135,75813,70070$60$8.8K
    992043445,87030$120$5.6K
    992036654,29030$80$4.1K
    6921028643030$30$3.3K
    710466311,04090$10$2.3K
    U000212721020$50$1.9K
    930001,5222,03030$10$1.6K
    8742618431020$30$1.2K
    8780413635040$20$860

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9083Global fee urgent care centers20$200$4.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9083Global fee urgent care centers20725080$130$34.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Shore Hospital Inc.MAGeneral Acute Care Hospital$0$95.1M
    Steward Emergency Physicians, IncMAEmergency Medicine Physician$0$58.7M
    First Physicians CorporationMAEmergency Medicine Physician$0$12.7M
    Coastal Medical AssociatesMAAnesthesiology Physician$0$10M
    South Shore Hospital Inc.MAHome Health Agency$0$7.9M
    James GiddingsRIEmergency Medicine Physician$78.4K$889.8K
    Raju SinglaMAInternal Medicine Physician$632.7K$0
    Michael AyersMAOrthopaedic Surgery Physician$484.8K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Helen MoreiraMAOphthalmology Physician$443.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer ByerMAMedical Oncology Physician$3.5M$0
    Shields Imaging Of Eastern Massachusetts LLCMAMobile Radiology Clinic/Center$2.7M$774.1K
    Harbor Medical Associates, Inc.MAClinical Medical Laboratory$1.8M$420.7K
    New England Eye Surgical Center IncMAOphthalmologic Surgery Clinic/Center$1.8M$271.1K
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$753K$191K
    Weymouth Endoscopy, LLCMAEndoscopy Clinic/Center$844.3K$4.7K
    Patricia HopkinsMAInternal Medicine Physician$733.6K$0
    George KroumpouzosMADermatology Physician$721.7K$0
    Harbor Medical Associates, Inc.MADiagnostic Radiology Physician$620.5K$0
    Seth McclennenMAClinical Cardiac Electrophysiology Physician$548.9K$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. Massachusetts Distribution
    Karen Jeghers — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Karen Jeghers — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts