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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDebra Crites-sams
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    Debra Crites-sams — Billing Profile & Reimbursement Data

    NPI 1154318632 · Ronceverte, WV · Family Medicine Physician

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    Debra Crites-sams is a family medicine physician provider located in Ronceverte, West Virginia. This profile covers 26 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
    OrganizationDebra Crites-sams
    Address1478 Maplewood Ave
    CityRonceverte
    StateWV
    ZIP24970
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$166.8K
    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.

    26 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…1,230$80$99.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit180$120$21.6K
    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…170$50$8.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.8K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…140$30$4.5K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…20$250$4.3K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…30$130$4.1K
    G0008Administration of influenza virus vaccine130$30$3.9K
    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,…70$40$2.5K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…20$90$1.7K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992327191,34090$60$11.9K
    9921462,740100$70$11.8K
    G04395156060$120$9.3K
    992137562,86080$50$7.5K
    9923931837070$90$7K
    992041,0101,22030$100$4.1K
    9067011020$230$3.7K
    9073212020$130$2.2K
    9921258062030$30$2K
    G00088756050$30$2K

    Showing 1–10 of 26

    Nearby Providers

    Other providers in the same ZIP code as Debra Crites-sams, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenbrier Vmc LLCWVGeneral Acute Care Hospital$0$16.3M
    Greenbrier Physicians, IncWVInternal Medicine Physician$0$5.9M
    Family Care Plus PLLCWVFamily Medicine Physician$0$3.1M
    Wv Emergency Physician Partners PLLCWVEmergency Medicine Physician$0$2.7M
    Camc Greenbrier Valley Medical Center IncWVGeneral Acute Care Hospital$0$2.4M
    Ronceverte Physician Group LLCWVGastroenterology Physician$0$1.5M
    Charleston Area Medical Center, Inc.WVHospitalist Physician$0$1.4M
    Greenbrier Valley Physical Therapy, LLCWVSpecialist$0$1.4M
    Dermatology Centers Inc.WVDermatology Physician$0$808.8K
    Camc Greenbrier Valley Medical Center IncWVCardiovascular Disease Physician$0$796.1K

    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. West Virginia Distribution
    Debra Crites-sams — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia