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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Yamin
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    Justin Yamin — Billing Profile & Reimbursement Data

    NPI 1164650727 · Worcester, MA · Internal Medicine Physician

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    Justin Yamin is a internal medicine physician provider located in Worcester, Massachusetts. This profile covers 14 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
    OrganizationJustin Yamin
    Address281 Lincoln St
    CityWorcester
    StateMA
    ZIP01605
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 23, 2009

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

    Payer SourceTotal Paid
    Medicare$210.2K
    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.

    14 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…380$120$46.9K
    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…220$210$45.5K
    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.350$90$31.5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk110$180$20.1K
    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…300$70$19.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk90$170$14.8K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…100$130$12K
    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$90$7.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$90$6.5K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$120$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453852946060$260$23.8K
    9921414,88615,410110$80$15.6K
    G01052328030$260$12.1K
    45380846050$160$11.9K
    992131,70813,70070$60$8.8K
    G01211318020$260$8.6K
    43239647050$120$8.4K
    45378321020$160$4.7K
    43249619020$210$4.7K
    992037014,29030$80$4.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Affiliates Of Cape Cod, Inc.MAInternal Medicine Physician$0$5.9M
    Cape And Islands Endoscopy Center LLCMAEndoscopy Clinic/Center$1.4M$1M
    Emily TierneyMAMOHS-Micrographic Surgery Physician$2.1M$0
    Thomas MillerMAFamily Medicine Physician$364.5K$448.2K
    Benjamin LevinMAInternal Medicine Physician$683.3K$0
    Mark WolfeMACardiovascular Disease Physician$515.7K$0
    Michael LevangieMACardiovascular Disease Physician$434.6K$0
    Eric FortierMAMedical Physician Assistant$412.6K$0
    John HostetterMACardiovascular Disease Physician$397.1K$0
    Ramon EspinosaMAInternal Medicine Physician$368.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Systems, IncMAAddiction (Substance Use Disorder) Counselor$6M$187.4M
    Edward M. Kennedy Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$55.2M
    Prestige Adult Foster Care LLC.MAIn Home Supportive Care Agency$0$54.1M
    Autism Therapuetic Services LLCMAEarly Intervention Provider Agency$0$23M
    Catholic Charities Of The Diocese Of WorcesterMADevelopmentally Disabled Services Day Training Agency$0$17.2M
    City Home Care, LLCMAHome Health Agency$0$15.9M
    Autism Intervention SpecialistsMABehavior Analyst$0$13.4M
    Pinnacle Home Healthcare Services, IncMAHome Health Agency$0$13.3M
    Adcare Hospital Of Worcester, Inc.MAGeneral Acute Care Hospital$0$13.2M
    The Bridge Of Central Massachusetts, Inc.MACommunity/Behavioral Health Agency$0$5.5M

    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. Massachusetts Distribution
    Justin Yamin — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts