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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarolyn Merkouris
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    Carolyn Merkouris — Billing Profile & Reimbursement Data

    NPI 1174503395 · Woodland, CA · Specialist

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    Carolyn Merkouris is a specialist provider located in Woodland, California. This profile covers 2 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
    OrganizationCarolyn Merkouris
    Address1321 Cottonwood St Fl 3
    CityWoodland
    StateCA
    ZIP95695
    TaxonomySpecialist
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$3.4K
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$70$2.4K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination20$50$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921395334,66080$70$13.2K
    G010131,00030$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denali Ob-gyn AssocAKObstetrics & Gynecology Physician$0$1.2M
    John StevensonCARadiation Oncology Physician$558.8K$0
    Dennis MeredithCAOrthopaedic Surgery of the Spine Physician$324.3K$0
    Daniel ParkerCASports Medicine (Family Medicine) Physician$308.9K$0
    Nataraj ShanmugamCADiagnostic Radiology Physician$307.1K$0
    Oliver StantonCADermatopathology (Pathology) Physician$259.8K$0
    Alex PallasILDiagnostic Radiology Physician$221K$32.2K
    Ushir PatelCANephrology Physician$251.2K$0
    Cam ChauCADiagnostic Radiology Physician$220.3K$0
    Kimberly JordanMNDiagnostic Radiology Physician$215.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yolo County Health And Human Services AgencyCACommunity/Behavioral Health Agency$0$74.6M
    Ole HealthCAFederally Qualified Health Center (FQHC)$0$30.5M
    Sheldon LeongCANephrology Physician$216.5K$0
    Jeffrey HeffernonCADiagnostic Radiology Physician$154K$0
    Seth RobinsonCAPulmonary Disease Physician$116.6K$0
    Michael StarkweatherCAFoot & Ankle Surgery Podiatrist$77.7K$0
    Arish EduljeeCANeurology Physician$72.8K$0
    Hoang TranCAOrthopaedic Surgery Physician$36.6K$0
    Rajan MerchantCAAllergy & Immunology Physician$24K$0
    Karen PakCAAudiologist$8.2K$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. California Distribution
    Carolyn Merkouris — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California