Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRowland Chavez
    Ask Trek AI about this page

    Rowland Chavez — Billing Profile & Reimbursement Data

    NPI 1356630172 · Livingston, NJ · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Rowland Chavez — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Rowland Chavez is a internal medicine physician provider located in Livingston, New Jersey. This profile covers 33 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.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRowland Chavez
    Address315 E Northfield Rd
    CityLivingston
    StateNJ
    ZIP07039
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 1, 2011

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

    Payer SourceTotal Paid
    Medicare$156.3K
    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.

    33 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…660$100$66.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250$140$35.6K
    90671This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…30$240$8.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…80$70$5.8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$180$3.4K
    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,…20$180$3.2K
    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$160$3.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.370$10$3K
    G0008Administration of influenza virus vaccine80$30$2.8K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…20$130$2.6K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8230611125050$30$79K
    84443154380100$20$65.5K
    80061126370130$10$65.4K
    839708812060$40$54.3K
    8005318556090$10$50.8K
    8260710515050$10$39.9K
    8415317324090$20$28.6K
    8303620251050$10$26.6K
    8272812820040$10$26K
    85025274750120$10$24.2K

    Showing 1–10 of 33

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Universal Rehabilitation And Fitness, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$191M
    The Arc Of Essex County, IncNJIn Home Supportive Care Agency$0$158.9M
    Cooperman Barnabas Medical Center IncNJGeneral Acute Care Hospital$0$136.8M
    Pm Pediatrics Of Livingston, PLLCNJUrgent Care Clinic/Center$0$40.5M
    Jewish Service For The Developmentally Disabled Of Metrowest, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$40.2M
    Tyce LLCNJHome Health Agency$0$19.3M
    The Children's InstituteNJDevelopmentally Disabled Services Day Training Agency$0$17.3M
    Rwjbh Observation Associates LLCNJEmergency Medicine Physician$0$15.9M
    Atlantic Ambulance Corp.NJAmbulance$8.8M$6.3M
    Vitas Healthcare Corporation AtlanticNJCommunity Based Hospice Care Agency$0$11.1M

    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. New Jersey Distribution
    Rowland Chavez — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey