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    OpenPayerNPI Medicare & MedicaidKaroljohn Delara
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    Karoljohn Delara — Billing Profile & Reimbursement Data

    NPI 1306478896 · Chula Vista, CA · Family Nurse Practitioner

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    Karoljohn Delara is a family nurse practitioner provider located in Chula Vista, California. 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
    OrganizationKaroljohn Delara
    Address1692 Fleishbein St
    CityChula Vista
    StateCA
    ZIP91913
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 12, 2020

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

    Payer SourceTotal Paid
    Medicare$69.9K
    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
    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…560$90$50.1K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…120$60$7.3K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg1,320$1$4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$2.1K
    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$120$1.8K
    97032Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…130$10$1.2K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…30$40$1.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$50$1.1K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.40$20$690
    J1885Injection, ketorolac tromethamine, per 15 mg70$0$0

    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
    992144,32537,970120$90$23.2K
    G04396,7017,80060$130$11.9K
    9920416,28519,36040$120$7.2K
    961166227050$70$6.3K
    206102,1902,79050$50$6K
    J3300820760$1$5.5K
    97032116170250$10$5K
    2055334747050$40$4.4K
    992116971,61040$20$2.4K
    J2795470200$1$90

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meghan BakerCAFamily Nurse Practitioner$1.1M$0
    Maruska SanchezCANurse Practitioner$996.6K$0
    Tamara McmillanCANurse Practitioner$420K$0
    Justin KellerCAAcute Care Nurse Practitioner$191.3K$0
    Elizabeth PembertonMOGerontology Nurse Practitioner$45.3K$0
    Robert FrankelNVPhysician Assistant$33.3K$0
    Kasheika McneillVAGerontology Nurse Practitioner$9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Solara Medical Supplies, LLCCAPharmacy$0$28.8M
    Yohan Han HwangCAFamily Nurse Practitioner$162K$0
    Sharp HealthcareCAClinical Medical Laboratory$153.7K$330
    Tracy MarienCAUrology Physician$41.9K$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. California Distribution
    Karoljohn Delara — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California