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    OpenPayerNPI Medicare & MedicaidCraig Duck
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    Craig Duck — Billing Profile & Reimbursement Data

    NPI 1306808613 · Encinitas, CA · Family Medicine Physician

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    Craig Duck is a family medicine physician provider located in Encinitas, California. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCraig Duck
    Address477 N El Camino Real
    CityEncinitas
    StateCA
    ZIP92024
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 3, 2006

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

    Payer SourceTotal Paid
    Medicare$56.5K
    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
    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…190$100$17.6K
    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…200$60$12.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$140$12K
    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…20$130$3.1K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…10$180$2.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$180$1.9K
    G0442Annual alcohol misuse screening, 5 to 15 minutes90$20$1.8K
    G0444Annual depression screening, 5 to 15 minutes80$20$1.7K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…20$40$980
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes30$30$860

    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
    9921414,05137,970120$90$23.2K
    9921511,23915,36050$130$14.4K
    992138,89334,66080$70$13.2K
    G04392,6957,80060$130$11.9K
    9949576190020$160$3.9K
    G01809261,49030$40$3.4K
    G044625337060$30$3.2K
    G00089,5579,80050$30$3K
    G040254866020$180$3K
    G044728733050$30$2.7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Clement ChanCARetina Specialist (Ophthalmology) Physician$2.9M$0
    Navid EzraCADermatology Physician$1.8M$975.2K
    Caleb NgCARetina Specialist (Ophthalmology) Physician$2.2M$21K
    Pushpinder SiviaCAVascular Surgery Physician$1.9M$0
    Eric ChinCARetina Specialist (Ophthalmology) Physician$1.8M$0
    John CarlsonCAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arash Mozayan IsfahaniCAOphthalmology Physician$2.6M$0
    Alberto BessudoCAHematology & Oncology Physician$2M$0
    Natalie MacleanCARheumatology Physician$1.9M$0
    Ucsd Center For Surgery Of Encinitas, L.P.CAAmbulatory Surgical Clinic/Center$1.3M$0
    Laurie FrakesCAHematology & Oncology Physician$1.3M$0
    Katherine LudingtonCACardiovascular Disease Physician$1.2M$0
    Keven TagdiriCAInternal Medicine Physician$1M$51.3K
    Pingfeng DuCACardiovascular Disease Physician$769.2K$0
    Damian RaschCACardiovascular Disease Physician$680.1K$0
    James HowardCAGeneral Practice Physician$606.7K$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
    Craig Duck — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California