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    OpenPayerNPI Medicare & MedicaidDaniel Graham
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    Daniel Graham — Billing Profile & Reimbursement Data

    NPI 1083008460 · Shrewsbury, NJ · Family Medicine Physician

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    Daniel Graham is a family medicine physician provider located in Shrewsbury, New Jersey. 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
    OrganizationDaniel Graham
    Address30 Shrewsbury Plz
    CityShrewsbury
    StateNJ
    ZIP07702
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 24, 2015

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

    Payer SourceTotal Paid
    Medicare$76K
    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
    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…310$100$31.5K
    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…100$130$12.3K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…70$140$10.4K
    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…150$70$9.8K
    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…60$80$4.9K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…50$40$2.1K
    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.90$20$1.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…30$50$1.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.80$20$1.2K
    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,…10$40$490

    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
    8763793050$140$44.1K
    992143,69513,640130$90$23.6K
    8763512326030$50$14.5K
    992135,30414,090100$70$13.1K
    992049587,16040$130$6.5K
    992031,9145,66040$80$4.8K
    710461,1461,17080$10$2.3K
    878118830030$40$2.1K
    8742674483040$30$2K
    878048062040$20$950

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Jersey Urgent CareNJUrgent Care Clinic/Center$0$8.4M
    Jason LiNJFamily Medicine Physician$469.3K$0
    Joseph DelucaNJSpecialist$454.6K$0
    Colleen MaturanaNYOphthalmology Physician$241.4K$32.6K
    Sanjai JalajNJOphthalmology Physician$238.2K$0
    Adeel ZiaLAFamily Medicine Physician$123.6K$0
    Robert SehgelNJInternal Medicine Physician$92K$0
    Grace AmbioNYPhysician Assistant$86.7K$0
    Rishita PatelCTFamily Nurse Practitioner$51.2K$0
    Saverio ConcaNJFamily Medicine Physician$46.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David ZaghaNJCardiovascular Disease Physician$776.4K$0
    Shrewsbury Surgery Center, LLCNJAmbulatory Surgical Clinic/Center$678.9K$0
    Shahid FarooquiNJInternal Medicine Physician$642.3K$0
    Nafisa BhooriNJInternal Medicine Physician$395.4K$0
    Lizett MarzaNJInternal Medicine Physician$387.2K$0
    Samuel AlyNJUrology Physician$327.4K$0
    Arthur ChristianoNJUrology Physician$265.9K$0
    Darsit ShahNJOtology & Neurotology Physician$258.4K$0
    Stanley LuNJDiagnostic Radiology Physician$244.4K$0
    Sean LiNJPain Medicine (Anesthesiology) Physician$209.9K$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. New Jersey Distribution
    Daniel Graham — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey