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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarwin Ashbaker
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    Darwin Ashbaker — Billing Profile & Reimbursement Data

    NPI 1114286127 · Baltimore, MD · Pulmonary Disease Physician

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    Darwin Ashbaker is a pulmonary disease physician provider located in Baltimore, Maryland. 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
    OrganizationDarwin Ashbaker
    Address900 Caton Ave
    CityBaltimore
    StateMD
    ZIP21229
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 10, 2012

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

    Payer SourceTotal Paid
    Medicare$74.5K
    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
    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…120$150$17.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…60$180$10.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$100$8.6K
    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…70$100$7.1K
    99205The provider sees a new 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 provider…30$190$5.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$150$4.1K
    31653The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…20$210$3.3K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.20$140$3.2K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…20$140$3.1K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.30$80$2.5K

    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
    992147,17910,270150$90$24.1K
    992331,3782,77080$100$16.6K
    992917971,61060$180$15.6K
    992323,1693,35080$60$11.1K
    992158724,07050$120$10.9K
    992231,8632,93040$140$10.3K
    31653152030$190$7.1K
    992059011,91030$160$6.5K
    32555697040$100$6.2K
    992221,7142,26030$100$4.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    University Of Maryland Community Medical Group, Inc.MDFamily Medicine Physician$0$30.5M
    Harvinder SinghMDHematology & Oncology Physician$1.7M$0
    Ikumi SuzukiMDMedical Oncology Physician$1.6M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Michael BalloMDAnatomic Pathology & Clinical Pathology Physician$1.1M$0
    Dan KunaprayoonMDRadiation Oncology Physician$1.1M$0
    Mouhamad AnnousMDVascular Surgery Physician$976.7K$10K
    Jay PenafielMDCardiovascular Disease Physician$700.2K$0
    Henry BellMDAnatomic Pathology & Clinical Pathology Physician$656.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elite Healthcare Nursing Services, Inc.MDHome Health Agency$0$45.5M
    Time Organization, IncMDCommunity/Behavioral Health Agency$0$39.4M
    Compassionate Care Nursing ServicesMDHome Health Agency$0$36.6M
    Win Team, LLCMDCommunity/Behavioral Health Agency$0$21M
    Maryland Treatment Centers IncMDSubstance Abuse Rehabilitation Facility$0$19M
    Time Organization, IncMDRehabilitation Clinic/Center$0$13.8M
    National Pike Health CenterMDMental Health Counselor$0$13.2M
    Ats Of Cecil County, LLCMDMethadone Clinic$203.9K$12.8M
    Cep America LLCMDEmergency Medicine Physician$0$12M
    St Agnes Healthcare IncMDInternal Medicine Physician$0$11.5M

    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. Maryland Distribution
    Darwin Ashbaker — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland