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    OpenPayerNPI Medicare & MedicaidKarina Henriquez
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    Karina Henriquez — Billing Profile & Reimbursement Data

    NPI 1326201484 · Lewistown, PA · Hospitalist Physician

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    Karina Henriquez is a hospitalist physician provider located in Lewistown, Pennsylvania. 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
    OrganizationKarina Henriquez
    Address400 Highland Ave
    CityLewistown
    StatePA
    ZIP17044
    TaxonomyHospitalist Physician
    NPI EnumeratedJuly 8, 2008

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

    Payer SourceTotal Paid
    Medicare$55.5K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…130$130$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…280$50$12.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$7.9K
    99205The provider sees a new 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 provider…30$130$4.3K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.40$90$3.4K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$80$2.7K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation80$40$2.6K
    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$110$1.8K
    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…30$50$1.4K
    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…10$80$920

    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
    992155,9587,17040$120$8.6K
    992236707,02040$130$7.8K
    992132,64222,37070$60$7.7K
    958115615030$170$7.2K
    958107315030$140$5.7K
    992049,34510,29030$110$5K
    992059883,09020$150$4.9K
    992229017,85030$100$4.3K
    992033,9947,33030$70$3.5K
    G0399159030$40$1.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Geisinger Bloomsburg HospitalPAGeneral Acute Care Hospital$0$7.2M
    Geisinger ClinicPAAddiction (Substance Use Disorder) Psychologist$0$5.8M
    Christopher CessnaPAOphthalmology Physician$1.2M$0
    Nilesh PatelPAHematology & Oncology Physician$809.2K$0
    Hieu HuynhVAClinical Cardiac Electrophysiology Physician$642.5K$0
    Brian OppermannPARheumatology Physician$514.7K$3.6K
    Bryan MartinPACardiovascular Disease Physician$449.7K$770

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger Lewistown HospitalPAGeneral Acute Care Hospital$0$9.7M
    Peerstar Advocacy Alliance LLCPACommunity/Behavioral Health Agency$0$5.7M
    Fame Emergency Medical Services IncPALand Ambulance$466.1K$1.8M
    Scott MarlowePADiagnostic Ultrasound Physician$468.7K$60
    Ricardo CarterPAHematology & Oncology Physician$299.2K$0
    Drew CornwellPAPain Medicine (Anesthesiology) Physician$99.4K$0
    Shannon JohnsonPASpeech-Language Pathologist$76.6K$0
    Siddharth BadvePAOrthopaedic Surgery Physician$67.5K$0
    Paul NancollasPAOphthalmology Physician$63.2K$130
    Robert UedaPADiagnostic Radiology Physician$49.4K$90

    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. Pennsylvania Distribution
    Karina Henriquez — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania