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    OpenPayerNPI Medicare & MedicaidRebecca Samberg
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    Rebecca Samberg — Billing Profile & Reimbursement Data

    NPI 1255815965 · Casper, WY · Family Nurse Practitioner

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    Rebecca Samberg is a family nurse practitioner provider located in Casper, Wyoming. This profile covers 20 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
    OrganizationRebecca Samberg
    Address1119 E 3rd St
    CityCasper
    StateWY
    ZIP82601
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 18, 2018

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

    Payer SourceTotal Paid
    Medicare$308.6K
    Medicaid$0

    Key Findings

    This provider’s Medicare business is concentrated in dermatologic procedures and office E/M care: high-revenue procedure codes include 99213 (office E/M), J7308 (aminolevulinic acid topical), and 11102 (skin lesion shave biopsy), and the broader code mix also contains photodynamic therapy (96574) and multiple lesion-destruction codes (17000, 17003, 17004). The pattern of high-volume biopsy and lesion-destruction codes alongside J7308 and 96574 indicates an outpatient dermatology workflow focused on diagnosis and procedural treatment of precancerous and malignant skin lesions.

    Revenue concentration is notable: the top 3 Medicare codes by revenue account for 46.4% of this provider’s total Medicare revenue, with 99213 contributing $64.2K (20.9% of Medicare revenue), J7308 contributing $47.4K (15.4%), and 11102 contributing $31.1K (10.1%). This means nearly half of the $308.6K in reported Medicare revenue is driven by those three codes alone, signaling dependence on a narrow set of services.

    Payer mix is effectively single-payer: this provider reports Total Medicare revenue of $308.6K and no Medicaid billing on file. The absence of Medicaid activity implies the provider’s revenue and downstream utilization patterns are driven almost entirely by Medicare patients, which concentrates reimbursement and population risk to that payer.

    For several high-revenue procedure codes this provider ranks well above peers nationally. 99213 ranks #3198 of 457151 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), J7308 ranks #55 of 1726 (97th percentile; notably above typical national volume for this code), and 96574 ranks #41 of 1099 (96th percentile; notably above typical national volume for this code), indicating unusually high national utilization of both routine E/M visits and photodynamic therapy relative to other billers.

    Other procedural codes also show elevated national standing: 11102 ranks #748 of 18797 providers (96th percentile; notably above typical national volume for this code) and the add-on premalignant lesion code 17003 reports 4.7K claims and ranks #387 of 19643 providers (98th percentile; notably above typical national volume for this code). The combination of very large claim counts for add-on lesion codes with high ranks suggests the practice treats multiple lesions per encounter frequently.

    There is a mix of visit complexity in the E/M portfolio: 99213 (1.3K claims, $64.2K revenue) and 99214 (386 claims, $25.9K revenue) together indicate most established patient visits are low-to-moderate complexity, while new-patient codes such as 99203 (165 claims, $8.1K revenue) and 99204 (41 claims, $3.4K revenue) show some new-patient throughput. This distribution is consistent with a clinician operating an outpatient clinic that manages ongoing follow-up and procedural care for established patients.

    The provider’s tenure on file is moderate: NPI enumerated 2018-09-18 (~8 years ago), which suggests the current billing profile and procedural volume have been developed over several years rather than being a very recent startup. Given the high national ranks on key procedural codes, that tenure appears sufficient to establish a high-volume niche in dermatologic procedures and photodynamic therapy.

    Operationally, the absence of Medicaid billing and the high Medicare procedural concentration suggest two implications for network and contracting strategy: the provider may not participate in Medicaid networks or treats a patient panel skewed toward Medicare-aged beneficiaries, and payers negotiating with this clinician should expect most exposure to come through Medicare-aligned reimbursement and procedural bundles rather than mixed payer risk.

    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.

    20 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…1,310$50$64.2K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)160$300$47.4K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.600$50$31.1K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,020$30$30.4K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…160$180$28.9K
    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…390$70$25.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…300$60$19K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…4,730$1$18.9K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.130$100$13.2K
    99203The provider sees a new 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 provider…170$50$8.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J730821070$300$26.5K
    99214102780100$80$14.8K
    9657421040$190$13K
    992136850110$60$9.9K
    11102140130$60$9.6K
    17110230100$70$8.7K
    17000250120$30$8.6K
    113011310160$70$8.5K
    1700422030$110$6.9K
    9920413934030$110$5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$14.8M
    Bear Country Home HealthcareWYHome Health Agency$0$7.8M
    Wyoming Independent Living Rehabilitation, Inc.WYCase Management Agency$0$4.7M
    Wyoming Medical Center IncWYGeneral Acute Care Hospital$0$4.4M
    Emergency Medical Physicians PCWYEmergency Medicine Physician$0$4.1M
    Acm Therapy Group LLCWYOccupational Therapist$0$3.6M
    Emg Casper Pp LLCWYAssisted Living Facility$0$3.5M
    Renewed Hope Foundation, Inc.WYPhysical Therapist$0$2.6M
    Optimal Physical Therapy, LLCWYPhysical Therapy Clinic/Center$0$2.5M
    Cedar Ridge Child And Family CounselingWYClinical Psychologist$0$2.4M

    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. Wyoming Distribution
    Rebecca Samberg — 5 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming