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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Pitchford
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    Douglas Pitchford — Billing Profile & Reimbursement Data

    NPI 1255432068 · Iselin, NJ · Pain Medicine (Anesthesiology) Physician

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    Douglas Pitchford is a pain medicine (anesthesiology) physician provider located in Iselin, New Jersey. This profile covers 11 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
    OrganizationDouglas Pitchford
    Address740 Route 1 N
    CityIselin
    StateNJ
    ZIP08830
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedSeptember 26, 2006

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

    Payer SourceTotal Paid
    Medicare$209.2K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…420$200$82.7K
    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…510$100$49.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.440$60$26.8K
    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…160$70$11.5K
    99443N/A90$110$10.5K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…170$50$8.7K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…40$210$7.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).20$290$5.8K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…30$110$3.5K
    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…10$110$1.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0482760120$190$74.2K
    8030740100310$60$59.5K
    992141,97613,640130$90$23.6K
    6448326933060$230$20.3K
    992135,08814,090100$70$13.1K
    6449316327050$210$12.6K
    99426103080$50$10.2K
    206101,0511,11080$60$10K
    992046,8687,16040$130$6.5K
    994435839030$90$5.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Naspac1 LLCNJPain Medicine (Anesthesiology) Physician$0$16.3M
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Abhijeet RastogiNJPain Medicine (Anesthesiology) Physician$1.8M$0
    Kieran SlevinNJInterventional Pain Medicine Physician$1.5M$0
    Ruchir GuptaAZPain Medicine (Anesthesiology) Physician$610.7K$0
    Wei Jie ZhangCTAnesthesiology Physician$496.9K$7.6K
    Douglas D'orioNJFamily Nurse Practitioner$383.2K$0
    Sherry JosePAPain Medicine (Anesthesiology) Physician$304.3K$45.3K
    John StamatosNYPain Medicine Physician$280.8K$14.3K
    Daniel HanonoNYPain Medicine (Anesthesiology) Physician$255.5K$2.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Param Healthcare & It Services, IncNJHome Health Agency$0$31M
    Parsippany Adult Daycare Center LLCNJAdult Day Care Clinic/Center$0$14.9M
    Iselin Adult Day Care Center LLCNJAdult Day Care Clinic/Center$0$12.6M
    Omni Eye Specialists P ANJOphthalmology Physician$0$9M
    Douglas GraysonNJOphthalmology Physician$1.9M$0
    Burton WisotskyNJOphthalmology Physician$1.5M$0
    Danielle StraussNJOphthalmology Physician$784.3K$11.8K
    Home Health Radiology Services LLCNJPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$720.2K$18.9K
    Lauren MullenNJOptometrist$196.9K$127.3K
    James MiliteNJOphthalmic Plastic and Reconstructive Surgery Physician$169.1K$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. New Jersey Distribution
    Douglas Pitchford — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey