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    OpenPayerNPI Medicare & MedicaidCandace Cooper
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    Candace Cooper — Billing Profile & Reimbursement Data

    NPI 1326701517 · Baltimore, MD · Endocrinology, Diabetes & Metabolism Physician

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    Candace Cooper is a endocrinology, diabetes & metabolism physician provider located in Baltimore, Maryland. This profile covers 2 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
    OrganizationCandace Cooper
    Address2112 Dundalk Ave
    CityBaltimore
    StateMD
    ZIP21222
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedOctober 15, 2021

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

    Payer SourceTotal Paid
    Medicare$13.4K
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes290$40$12.1K
    G0109Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes110$10$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0108530100$40$6.6K
    G0109910280$10$3.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caring Hands Adult Day Care Of Dundalk, IncMDAdult Day Care Clinic/Center$0$20.5M
    Matclinic Physicians Practice Group LLCMDAddiction Medicine (Internal Medicine) Physician$0$14.9M
    Bd Health Services, Inc.MDMethadone Clinic$229.1K$11.8M
    Addiction Treatment Of Maryland LLCMDSubstance Abuse Rehabilitation Facility$0$11.8M
    Key Point Health Services, IncMDPsychiatric Residential Treatment Facility$0$10.1M
    Dundalk Health Services, Inc.MDMethadone Clinic$274.5K$9.4M
    Albemarle LaboratoriesMDClinical Medical Laboratory$169K$9.5M
    Associated Catholic CharitiesMDMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    Dundalk Pediatric Associates, P. A.MDPediatrics Physician$0$7.5M
    United Therapeutic Center IncMDCommunity/Behavioral Health Agency$0$6.8M

    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. Maryland Distribution
    Candace Cooper — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland