Loading...
NPI 1215258876 · Boston, MA · Psychiatry Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Dara Pumphrey-ruiz is a psychiatry physician provider located in Boston, Massachusetts. This profile covers 3 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Dara Pumphrey-ruiz |
| Address | 75 State St Ste 2600 |
| City | Boston |
| State | MA |
| ZIP | 02109 |
| Taxonomy | Psychiatry Physician |
| NPI Enumerated | June 17, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $625.6K |
| Medicare | $19.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 220 | $60 | $13.6K |
| Q3014 | Telehealth originating site facility fee | 210 | $20 | $4.1K |
| 99205 | The 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… | 20 | $130 | $2.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 5,300 | $110 | $572.4K |
| Q3014 | Telehealth originating site facility fee | 1,900 | $20 | $37.9K |
| 99215 | The 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… | 60 | $160 | $8.6K |
| 99205 | The 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… | 70 | $100 | $6.4K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 364 | 5,040 | 200 | $70 | $209.5K |
| 99215 | The 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… | 432 | 670 | 120 | $100 | $169.2K |
| 99205 | The 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… | 111 | 220 | 70 | $140 | $66.4K |
| Q3014 | Telehealth originating site facility fee | 21 | 80 | 470 | $1 | $15.2K |
Other providers in the same ZIP code as Dara Pumphrey-ruiz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Public Partnerships-colorado, Inc. | MA | Supports Brokerage Agency | $0 | $885.3M |
| Commonwealth Of Massachusetts | MA | Community/Behavioral Health Agency | $0 | $35.2M |
| Commonwealth Of Massachusetts | MA | Case Management Agency | $0 | $12.1M |
| Stephany Gyasi | MA | Family Nurse Practitioner | $297.5K | $0 |
| Steven Afrow | MA | Gerontology Nurse Practitioner | $212.2K | $0 |
| Corey Baechel | MA | Clinical Psychologist | $165.1K | $0 |
| Erica Visco | MA | Family Nurse Practitioner | $142K | $0 |
| Tatum Siebert | MA | Clinical Psychologist | $94.3K | $0 |
| Arlie Sterling | MA | Clinical Psychologist | $82.4K | $0 |
| Kelly Lincoln | MA | Family Nurse Practitioner | $57.2K | $0 |
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.