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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshley Rivera
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    Ashley Rivera — Billing Profile & Reimbursement Data

    NPI 1437451903 · Pearl City, HI · Gerontology Nurse Practitioner

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    Ashley Rivera is a gerontology nurse practitioner provider located in Pearl City, Hawaii. This profile covers 12 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
    OrganizationAshley Rivera
    Address1790 Paailuna Way
    CityPearl City
    StateHI
    ZIP96782
    TaxonomyGerontology Nurse Practitioner
    NPI EnumeratedDecember 3, 2010

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

    Payer SourceTotal Paid
    Medicare$35.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…200$100$20.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$120$3.6K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$60$2.2K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…10$170$1.9K
    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…20$70$1.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$70$1.7K
    G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…50$20$950
    G0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first…10$60$770
    G0008Administration of influenza virus vaccine30$30$700
    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…10$50$600

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99349162040$90$11.9K
    9935022060$110$11.2K
    G043917526050$110$8.1K
    G031821050$20$6.9K
    9066214721050$70$5.5K
    9948371020$210$4.7K
    9934431050$100$4.7K
    99348101030$50$4.5K
    9949711613040$60$4.2K
    G000818831040$30$4K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David C. Ching,d.m.d.,llcHIPediatric Dentistry$0$5.1M
    Apria Healthcare LLCHIDurable Medical Equipment & Medical Supplies$0$2.7M
    Pacific Endoscopy Center, LLCHIAmbulatory Surgical Clinic/Center$610.3K$2M
    Jason R. Ching Dds LLCHIDentist$0$2.4M
    Jojie ReyesHICase Management Registered Nurse$0$824.1K
    Above And Beyond Case ManagementHICase Management Registered Nurse$0$475.1K
    Travis NishiokaHIGeneral Practice Dentistry$0$467.1K
    Longs Drug Stores California LLCHICommunity/Retail Pharmacy$426K$32.2K
    Pearl Family Dental Care, IncHIGeneral Practice Dentistry$0$421.7K
    Longs Drug Stores California, L.L.C.HIPharmacy$278.5K$30.2K

    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. Hawaii Distribution
    Ashley Rivera — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii