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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoanna Oppenheim
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    Joanna Oppenheim — Billing Profile & Reimbursement Data

    NPI 1356332951 · Salinas, CA · Family Medicine Physician

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    Joanna Oppenheim is a family medicine physician provider located in Salinas, California. This profile covers 29 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
    OrganizationJoanna Oppenheim
    Address1260 S Main St Ste 101
    CitySalinas
    StateCA
    ZIP93901
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 2, 2005

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

    Payer SourceTotal Paid
    Medicare$58.6K
    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.

    29 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…510$50$25.3K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$5.3K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…80$50$3.9K
    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…40$90$3.7K
    99442N/A40$60$2.6K
    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…50$50$2.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…140$20$2.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.250$10$2K
    G0009Administration of pneumococcal vaccine40$30$1.2K
    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$80$1.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    82306434490100$30$44.2K
    84443425620120$20$39.4K
    80061405700110$10$35.3K
    992145,06137,970120$90$23.2K
    99426265080$50$20.6K
    82607370440100$10$19.1K
    850257891,210150$10$17.2K
    992158,13515,36050$130$14.4K
    9921321,34634,66080$70$13.2K
    G04391,5507,80060$130$11.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Svmhs ClinicsCAMulti-Specialty Clinic/Center$0$34.2M
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Katrina FischerCAHematology & Oncology Physician$2.1M$0
    Nancy RubinCAHematology & Oncology Physician$2M$0
    Thaila RamanujamCASpecialist$1.9M$0
    Kevin ChenCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Horng Bruce LinCAVascular & Interventional Radiology Physician$1.7M$0
    Reza IranmaneshCAOphthalmology Physician$1.7M$0
    Ajanta DeCAInterventional Cardiology Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Salinas Valley Memorial Healthcare SystemCAGeneral Acute Care Hospital$0$119M
    County Of Monterey Behavioral HealthCAClinical Child & Adolescent Psychologist$0$41.1M
    Central Coast Pediatric Dental GroupCAPediatric Dentistry$0$26.4M
    American Medical Response WestCAAmbulance$4.8M$9.8M
    Vantage Surgery Center, L PCAAmbulatory Surgical Clinic/Center$2.8M$645K
    Monterey Peninsula Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$924.4K$2.1M
    Advanced Medical Surgery Center A Medical CorporationCAAmbulatory Surgical Clinic/Center$1.6M$39.7K
    Michael BasseCADiagnostic Radiology Physician$1.4M$0
    Milene CrispinCADermatology Physician$951.2K$0
    Aytac ApaydinCAUrology Physician$739.1K$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
    Joanna Oppenheim — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California