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    OpenPayerNPI Medicare & MedicaidJohnny Chavarria
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    Johnny Chavarria — Billing Profile & Reimbursement Data

    NPI 1316923352 · Warwick, RI · Pediatrics Physician

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    Johnny Chavarria is a pediatrics physician provider located in Warwick, Rhode Island. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJohnny Chavarria
    Address161 Airport Rd
    CityWarwick
    StateRI
    ZIP02889
    TaxonomyPediatrics Physician
    NPI EnumeratedDecember 21, 2005

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

    Payer SourceTotal Paid
    Medicaid$391.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 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…3,140$60$188.3K
    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…1,420$90$133.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,730$10$17.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.150$80$12.8K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.90$90$8.3K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.500$20$7.6K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.620$10$6.8K
    99443N/A130$40$5.3K
    87081The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.470$10$2.8K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.70$40$2.6K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2551,730220$70$75.2K
    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…1762,050300$50$72.3K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…155190160$90$39.1K
    87081The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.1230230$60$32.6K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.88190110$90$32K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.6914090$90$29.2K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.42130150$20$11K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.4150090$10$8.5K
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.820100$10$5.6K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.349050$40$5.4K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ocean State Home Health Care, Inc.RIHome Health Agency$0$7.9M
    Lifespan Physician Group, Inc.RIUrgent Care Clinic/Center$0$6.5M
    Cornerstone Adult Services, Inc.RIAdult Day Care Clinic/Center$0$3.8M
    City Of Warwick Public SchoolsRILocal Education Agency (LEA)$0$2.3M
    Halcyon At West Bay, LLCRIAssisted Living Facility$0$1.7M
    Rebecca CarterRIMental Health Counselor$0$1.3M
    Ocean State Center For Independent LivingRIDurable Medical Equipment & Medical Supplies$0$1M
    Jeremy DibiasioRIStudent in an Organized Health Care Education/Training Program$9.8K$737.4K
    Child Inc.RICommunity/Behavioral Health Agency$0$456.4K
    Kristen AcciariRIClinical Social Worker$0$361.4K

    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.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Johnny Chavarria — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island