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    OpenPayerNPI Medicare & MedicaidDavid Powers
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    David Powers — Billing Profile & Reimbursement Data

    NPI 1215933494 · South Hill, VA · Family Medicine Physician

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    David Powers is a family medicine physician provider located in South Hill, Virginia. This profile covers 46 Medicare and 26 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Powers
    Address514 W Atlantic St
    CitySouth Hill
    StateVA
    ZIP23970
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 22, 2005

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

    Payer SourceTotal Paid
    Medicare$321.4K
    Medicaid$110.5K

    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.

    46 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$98.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit420$130$53.3K
    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…350$60$19.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…250$70$17.9K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.110$140$16K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$210$10.8K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes400$30$10.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,240$10$9.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,040$10$8.3K
    G0008Administration of influenza virus vaccine270$30$8K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921423712,890140$80$21K
    9132235091080$140$17K
    G0439802,96080$120$14.7K
    17110494530120$80$13.7K
    992131,56112,44090$60$10K
    992152,2324,03040$120$9.5K
    80053135750210$10$8.1K
    8006177630180$10$8.1K
    906778781,85020$280$8K
    84443221610110$20$7.3K

    Showing 1–10 of 46

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    26 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…910$60$51.1K
    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…250$80$18.8K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…130$70$9.6K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…110$70$7.7K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.410$10$5.8K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.380$10$5.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.60$80$4.2K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.20$90$1.7K
    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…80$20$1.3K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…330$1$980

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,9703,520370$70$280.7K
    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…1,3154,010290$50$199.8K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…332650150$80$115.4K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…328580150$70$109K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.379630110$80$78.1K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.351430160$80$60.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3384101,030$1$26.8K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.373920190$10$20.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.360920180$10$20K
    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…321510140$20$19.8K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group, LLCVAInternal Medicine Physician$0$81.2M
    Robert BrennanVAInfectious Disease Physician$15.9M$0
    Adebowale PrestMDFamily Medicine Physician$2.8M$0
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1.9M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Glenda MccarterMDNurse Practitioner$1.3M$0
    Marilyn ChengotNYCardiovascular Disease Physician$909.9K$15.1K
    Momodu JackDCGastroenterology Physician$25K$759K
    Anish DesaiMDPulmonary Disease Physician$302.4K$374.2K
    Christopher VaccariMDCardiovascular Disease Physician$675.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Memorial HospitalVAGeneral Acute Care Hospital$0$35.6M
    Personal Homecare IncVAIn Home Supportive Care Agency$0$6.8M
    Graham PowersVAFamily Medicine Physician$480.3K$50.1K
    Linda PowersVAEndocrinology, Diabetes & Metabolism Physician$370.3K$0
    Danita ReeseVAPodiatrist$128.2K$94.2K
    Kimball KindleyVADermatology Physician$182.5K$0
    Robert PowellVAFamily Nurse Practitioner$127.1K$0
    John PearsonVAUrology Physician$124.1K$0
    Charles FergesonVAChiropractor$47.2K$0
    Christopher AlexanderVAFamily Medicine Physician$40.9K$4.5K

    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. Virginia Distribution
    David Powers — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    David Powers — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia