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 & MedicaidTammy Avila
    Ask Trek AI about this page

    Tammy Avila — Billing Profile & Reimbursement Data

    NPI 1295034932 · Portsmouth, VA · Medical Physician Assistant

    Customize your policy alerts

    Sign up for Tammy Avila — 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.

    Tammy Avila is a medical physician assistant provider located in Portsmouth, Virginia. This profile covers 18 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
    OrganizationTammy Avila
    AddressNaval Medical Center Portsmouth
    CityPortsmouth
    StateVA
    ZIP23708
    TaxonomyMedical Physician Assistant
    NPI EnumeratedMarch 21, 2011

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

    Payer SourceTotal Paid
    Medicare$108.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg4,280$10$34.2K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…360$70$26.2K
    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…340$60$18.9K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose80$100$7.8K
    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…80$80$5.7K
    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…60$60$3.5K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.110$30$2.8K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.60$30$2K
    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…20$80$1.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$30$1.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73326203,020$10$26K
    992148,47612,890140$80$21K
    206112223060$70$10.5K
    992131,63012,44090$60$10K
    J7323205070$100$9.6K
    9892662070$30$7.1K
    992044,8056,85040$110$5.9K
    992031,5354,92030$70$3.8K
    205536611040$40$2.6K
    970321940100$10$2.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tidewater Physicians Multispecialty Group PCVAFamily Medicine Physician$0$5.9M
    Kristi MizelleVARheumatology Physician$1.5M$0
    Michael GenVAInterventional Cardiology Physician$705.1K$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0
    Pranav ParikhVAInternal Medicine Physician$579K$0
    Jeffrey VandesandVADiagnostic Radiology Physician$550.4K$0
    Matthew DohertyVADiagnostic Ultrasound Physician$540.2K$0
    Stephen CummingsVAOrthopaedic Surgery Physician$493.5K$0
    Mrugesh SoniVAInterventional Cardiology Physician$435.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph SposatoVACardiovascular Disease Physician$278.3K$190
    Elsio Negron-rubioVADiagnostic Radiology Physician$185.8K$0
    Yibo ChenVADiagnostic Radiology Physician$151.7K$1.3K
    Alesha SmithVAOptometrist$126.5K$10K
    Timothy O'malleyVAOtolaryngology Physician$126.4K$0
    James MckeeVADiagnostic Radiology Physician$93.7K$0
    Kevin PinkosVAOrthopaedic Surgery Physician$72.8K$0
    Richard SerianniVAAnesthesiology Physician$34.3K$0
    Tuan HoangVASurgery Physician$23.4K$0
    John WeatherwaxVAAnesthesiology Physician$21.5K$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
    Tammy Avila — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia