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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGergana Popova-orahovats
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    Gergana Popova-orahovats — Billing Profile & Reimbursement Data

    NPI 1467435420 · Cheyenne, WY · Family Medicine Physician

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    Gergana Popova-orahovats is a family medicine physician provider located in Cheyenne, Wyoming. This profile covers 58 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
    OrganizationGergana Popova-orahovats
    Address5050 Powderhouse Rd
    CityCheyenne
    StateWY
    ZIP82009
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$283K
    Medicaid$0

    Key Findings

    This provider bills almost exclusively to Medicare: total Medicare revenue is $283K and there is no Medicaid billing on file, so the dataset presents an effectively single‑payer Medicare profile for analysis and reimbursement exposure. That concentration means payer mix risk is dominated by Medicare policy and beneficiary volume shifts rather than by state Medicaid policy changes.

    Revenue is highly concentrated in a few preventive and office‑based services: the precomputed top‑3 codes (G0439, 99214, J0897) account for 52.9% of this provider's total Medicare revenue. Those three codes together drive the majority of earnings, so changes in coverage, visit patterns, or reimbursement for those services would disproportionately affect the practice’s Medicare revenue.

    G0439 (475 claims, $129 avg paid/claim, $61.3K revenue; 22.9% of Medicare revenue) is a standout line item — the provider ranks #849 of 105855 nationally and is classified as a 99th percentile "extreme outlier". This indicates an unusually high national volume of Annual Wellness Visits relative to peers and suggests a deliberate operational emphasis on Medicare AWVs and prevention planning.

    Evaluation-and-management visits are a second major revenue pillar: 99214 (533 claims, $86 avg, $45.8K; 17.1% of Medicare revenue) ranks #43999 of 479517 (91th percentile) and 99213 (554 claims, $56 avg, $31K; 11.6% of Medicare revenue) ranks #22556 of 457151 (95th percentile, described as "notably above typical"). Together these volumes are consistent with an active family medicine practice that carries above‑average visit throughput and complexity for established patients.

    The practice delivers substantial therapy/injection services, driven by J0897 (1.9K claims, $18 avg, $34.6K; 12.9% of Medicare revenue), which ranks #6349 of 10057 nationally and is characterized as typical (35th percentile). High absolute claim counts for denosumab injections combined with DXA imaging (77080: 247 claims, $9.4K) and pneumococcal/flu vaccination codes point to a clinical focus on osteoporosis management and preventive vaccination for Medicare patients.

    Preventive and immunization services appear as recurring revenue contributors beyond AWVs: 90662 (169 claims, $72 avg, $12.2K), 90677 (36 claims, $283 avg, $10.2K), G0008 (180 claims, $5.6K), G0009 (37 claims, $1.1K) and a COVID vaccine line (91320, 23 claims, $2.9K) together indicate a routine, office‑based immunization program. This mix supports value in population health and annual preventive visit workflows rather than specialty procedural revenue.

    On-site laboratory and chronic disease monitoring are regular components of the practice: high claim counts for basic phlebotomy and panels (36415: 1.1K claims, $7.7K; 80053: 652 claims, $6.5K; 85025: 629 claims, $5K; 84443: 314 claims, $5K) plus INR testing (93793: 221 claims, $1.8K; 85610: 398 claims, $1.6K) point to integrated, longitudinal primary care supporting chronic disease management and anticoagulation monitoring. These ancillary services likely enable efficient management of the provider’s Medicare panel.

    The provider has long tenure in the NPI system (registered 2005-11-23, ~21 years ago), representing a sustained presence in the market. Taken together with the code‑level ranks, the profile reads as a modest overall Medicare revenue contributor ($283K) with outsized national standing for Annual Wellness Visits and above‑typical E/M volumes—a practice that is operationally mature and focused on preventive care and in‑office chronic disease treatments rather than broad multispecialty procedural services.

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit480$130$61.3K
    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…530$90$45.8K
    J0897Injection, denosumab, 1 mg1,920$20$34.6K
    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…550$60$31K
    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…170$70$12.2K
    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…40$280$10.2K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…250$40$9.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,100$10$7.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.650$10$6.5K
    G0008Administration of influenza virus vaccine180$30$5.6K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089723501,800$20$51.1K
    9921463780100$80$14.8K
    91320376050$120$13.9K
    G0439217070$120$13.1K
    9921346850110$60$9.9K
    906773311020$280$8.9K
    906624014070$70$8.6K
    9921514422040$120$8.3K
    9949641020$200$4.6K
    G0438233020$160$4.5K

    Showing 1–10 of 58

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gergana Popova-orahovats, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Jodie GallegosCOFamily Nurse Practitioner$2.8M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    James LevineCORheumatology Physician$1.7M$0
    John WatkinsNDRadiation Oncology Physician$1M$0

    Nearby Providers

    Other providers in the same ZIP code as Gergana Popova-orahovats, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Dentistry LLCWYPediatric Dentistry$0$8M
    Emg Cheyenne Sh LLCWYAssisted Living Facility$0$5.8M
    Liv In-home Counseling & Care Management, LLCWYPrimary Care Clinic/Center$0$5.7M
    Lucy RussellWYDevelopmentally Disabled Services Day Training Agency$0$5.4M
    Pediatric Dentistry LLCWYPediatric Dentistry$0$4.1M
    Bridges Of Wyoming, IncWYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.2M
    Renee DreherWYClinical Social Worker$0$817.9K
    Breanna BarnesWYPediatric Dentistry$0$794.4K
    College Drive Urgent Care LLCWYUrgent Care Clinic/Center$0$770.4K
    Sandra SurbruggWYDermatology Physician$664.9K$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. Wyoming Distribution
    Gergana Popova-orahovats — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming