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 & MedicaidCarmen Salvaterra
    Ask Trek AI about this page

    Carmen Salvaterra — Billing Profile & Reimbursement Data

    NPI 1285639336 · Columbia, MD · Pulmonary Disease Physician

    Customize your policy alerts

    Sign up for Carmen Salvaterra — 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.

    Carmen Salvaterra is a pulmonary disease physician provider located in Columbia, Maryland. This profile covers 28 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 / 9

    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
    OrganizationCarmen Salvaterra
    Address10724 Little Patuxent Pkwy
    CityColumbia
    StateMD
    ZIP21044
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 16, 2005

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

    Payer SourceTotal Paid
    Medicare$8.9M
    Medicaid$0

    Key Findings

    Revenue concentration is extremely high: the provider’s top three Medicare codes (J0225, J0222, J2350) account for 94.6% of total Medicare revenue, with J0225 alone generating $5.9M (65.5% of Medicare revenue) and J0222 contributing $2.1M (23.0%). This concentration indicates that a small number of specialty injectable products drive the vast majority of this $8.9M Medicare footprint.

    Although listed taxonomy is Pulmonary Disease Physician, the code mix shows the practice is operating largely as a high-cost specialty injectable/infusion provider: J0225 and J0222 are the two dominant revenue lines, and infusion/administration codes such as 96365, 96401, 96413, and 96415 also appear in the top code list. At the same time, pulmonary-specific testing codes (94729, 94726, 94010) and E/M codes (99214, 99215) are present but account for only a small share of revenue, suggesting infusion services are the primary business line.

    This provider is effectively a single-payer operation from the claims data available: lifetime Medicare revenue is $8.9M while there is no Medicaid billing on file. The absence of Medicaid activity means payer diversification is limited and reimbursement risk is concentrated in Medicare policy and pricing for the specific high-cost injectables used.

    Competitive standing for the two largest injectable codes is ambiguous: J0225 and J0222 both show “#1 of 1 providers nationally (0th percentile; no national peer volume comparison available),” which limits peer-comparison interpretation despite these codes producing the majority of revenue. For J2350 the provider ranks #56 of 105 nationally (46th percentile; typical, unremarkable volume for this code), indicating a modest, not dominant, national presence for that particular product.

    There is a notable statistical outlier in lower-dollar items: J3489 (zoledronic acid, 1 mg) is reported as rank #4 of 3032 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) even though it represents only 0.1% of Medicare revenue. This unusually high national-volume rank for a small-revenue code suggests the provider administers this drug at volumes far above typical peers, a specific operational detail worth investigating in the context of the larger infusion program.

    Visit-based revenue is a small fraction of the total: 99214 generated 451 claims and $45.1K (0.5% of Medicare revenue) and other office E/M codes are present at low counts. This mix implies that face-to-face clinic visits are a secondary revenue stream relative to administration of specialty injectables and infusion services.

    Ancillary infusion and vascular access capability is supported by activity in procedure codes tied to infusion logistics: 36591 (50 claims), 96375 (187 claims), and infusion add-ons such as 96415 (149 claims) appear on the top list. These entries corroborate that the practice delivers complex infusion services on site, including repeated IV access and multi-hour infusions, consistent with the high revenues from injectable therapies.

    The provider has an established Medicare billing history, with NPI enumerated 2005-06-16 (~21 years ago). Combined with $8.9M in lifetime Medicare revenue and the concentrated specialty-injectable profile, this tenure suggests a long-standing, Medicare-focused practice with operational capabilities oriented to infusion and biologic drug administration.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0225Injection, vutrisiran, 1 mg1,900$3,080$5.9M
    J0222Injection, patisiran, 0.1 mg26,030$80$2.1M
    J2350Injection, ocrelizumab, 1 mg12,000$50$540K
    J2182Injection, mepolizumab, 1 mg9,800$20$225.4K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg3,300$30$112.2K
    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…450$100$45.1K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.290$60$17.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.330$50$17K
    99215The 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…80$140$11.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…100$110$10.7K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J02251101,900$3,080$5.9M
    J022211026,030$80$2.1M
    J235021012,000$40$1.5M
    J21822107,180$20$180.3K
    Q51152103,300$30$170.1K
    96413163230200$110$29.6K
    992141,98510,270150$90$24.1K
    9640136190140$60$12.5K
    992135,5749,280100$60$12.5K
    992321,6513,35080$60$11.1K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johns Hopkins Community Physicians, IncMDInternal Medicine Physician$0$12.8M
    Daniel KimMDCardiovascular Disease Physician$440K$0
    Alan SchneiderMDClinical Cardiac Electrophysiology Physician$360.1K$0
    Daniel SchwartzMDCardiovascular Disease Physician$299.9K$0
    Maryam MohammadiDCCardiovascular Disease Physician$272.6K$0
    Mark MilnerMDCardiovascular Disease Physician$267.4K$0
    Shahab BavaniMDInternal Medicine Physician$260.1K$0
    Kim GoringMDCritical Care Medicine (Internal Medicine) Physician$253.8K$0
    Jahanbakhsh NaghshinVAPulmonary Disease Physician$250.2K$0
    Peter HammMDPulmonary Disease Physician$244.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Psychogeriatric Services LLCMDPsychiatry Physician$0$7.5M
    Edwin Zaghi Dmd PCMDPediatric Dentistry$0$7.3M
    Ellicott City Primary Care Physicians, PAMDPediatrics Physician$0$7.1M
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$5.1M
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    American Neuromonitoring Associates, PCMDNeurology Physician$0$4.5M
    Howard County General Hospital, Inc,MDGeneral Acute Care Hospital$0$4.5M
    Andrew MenerMDHematology & Oncology Physician$3.5M$0
    Edward LeeMDMedical Oncology Physician$1.9M$0
    Johns Hopkins Surgery Centers SeriesMDAmbulatory Surgical Clinic/Center$1.6M$14.1K

    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. Maryland Distribution
    Carmen Salvaterra — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland