Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Hoffman
    Ask Trek AI about this page

    Daniel Hoffman — Billing Profile & Reimbursement Data

    NPI 1225085657 · Fredericksburg, VA · Urology Physician

    Customize your policy alerts

    Sign up for Daniel Hoffman — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Daniel Hoffman is a urology physician provider located in Fredericksburg, Virginia. This profile covers 25 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Hoffman
    Address1051 Care Way
    CityFredericksburg
    StateVA
    ZIP22401
    TaxonomyUrology Physician
    NPI EnumeratedMay 30, 2006

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

    Payer SourceTotal Paid
    Medicare$166.3K
    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.

    25 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…440$90$39.4K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg280$130$36.7K
    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…460$60$28.3K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…110$170$19K
    99204The provider sees a new 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 provider…80$120$10.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…10$310$4.3K
    55700Code deleted December 31, 2025.40$80$3.2K
    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…50$60$3K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…40$80$3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J921721130140$130$23.9K
    52356769020$680$21.9K
    992142,32412,890140$80$21K
    520008122080$170$16K
    992322,8524,46080$60$11K
    557002212020$260$10.3K
    9921398312,44090$60$10K
    992233,0303,66040$130$9.2K
    5220461010$380$8.6K
    992041,2506,85040$110$5.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalDCPediatrics Physician$0$115.3M
    Mary Washington Healthcare PhysiciansVAFamily Medicine Physician$0$13.3M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Straight Line ArlaTXPsychiatry Physician$242.4K$1M
    Michael BrancaccioDCAnatomic Pathology & Clinical Pathology Physician$950.6K$0
    Raushan AbdulaVACardiovascular Disease Physician$534.4K$0
    Charles BeamonVAUrology Physician$467.5K$0
    Philip BrandtVAHematology & Oncology Physician$460.5K$0
    Rohit GoyalVACritical Care Medicine (Internal Medicine) Physician$440.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rappahannock Area Community Services BoardVACommunity/Behavioral Health Agency$0$142.5M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Paragon Autism Services, LLCVABehavior Analyst$0$21.6M
    Fredericksburg Emergency Medical Alliance, Inc.VAEmergency Medicine Physician$0$15M
    Pedsplus Urgent Care, LLCVAUrgent Care Clinic/Center$0$11M
    Preferred Pediatrics At SnowdenVAPediatrics Physician$0$6.4M
    Sunny Home Care Inc.VAHome Health Agency$0$6.3M
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Central Virginia Surgi-center LPVAAmbulatory Surgical Clinic/Center$3.2M$318.9K
    Eric LeeVARetina Specialist (Ophthalmology) Physician$2.6M$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. Virginia Distribution
    Daniel Hoffman — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia