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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Rabago
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    James Rabago — Billing Profile & Reimbursement Data

    NPI 1467563445 · Merced, CA · Family Medicine Physician

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    James Rabago is a family medicine physician provider located in Merced, California. This profile covers 43 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
    OrganizationJames Rabago
    Address3393 G St Ste C
    CityMerced
    StateCA
    ZIP95340
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$197K
    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.

    43 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…530$90$48.4K
    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…400$70$26.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170$140$22.9K
    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…50$240$12.6K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…150$70$11K
    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…70$140$10.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$100$10K
    99442N/A100$70$6.6K
    G0008Administration of influenza virus vaccine160$30$5.2K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$170$4.3K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992336,31011,530120$100$26.2K
    992144,70537,970120$90$23.2K
    913202,2422,33080$130$16.1K
    992155,66815,36050$130$14.4K
    992134,35534,66080$70$13.2K
    G04391,1407,80060$130$11.9K
    992393,7015,05060$100$8.3K
    906941,0775,02050$70$7.7K
    830362361,94050$10$7.6K
    9920417,42919,36040$120$7.2K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthCAGeneral Acute Care Hospital$0$106.5M
    Vikram LakireddyCACardiovascular Disease Physician$4.8M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Margaret ChangCARetina Specialist (Ophthalmology) Physician$4.3M$0
    Juan CanaleCAGastroenterology Physician$91.1K$4.1M
    Felipe RuizCAFoot & Ankle Surgery Podiatrist$4M$3K
    Tony TsaiCARetina Specialist (Ophthalmology) Physician$3.9M$0
    David TelanderCARetina Specialist (Ophthalmology) Physician$3.6M$0
    Joel PearlmanCARetina Specialist (Ophthalmology) Physician$3.3M$0
    Daniel TaheriCADermatology Physician$3.3M$7.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Joaquin Emergency Medical AssociatesCAEmergency Medicine Physician$0$29.8M
    Merced Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$2.8M$4.1M
    Steven HansenCADiagnostic Radiology Physician$1.2M$0
    David PilkingtonCADermatology Physician$755.2K$440
    Sunit PatelCASpecialist$618.4K$0
    Mario SablanCAOrthopaedic Surgery Physician$617.2K$0
    Timothy JohnstonCAFamily Medicine Physician$605.7K$0
    Aegis Treatment Centers, LLCCAMethadone Clinic$588.6K$2.3K
    William EntwistleCAFamily Medicine Physician$185.2K$0
    Nadir AdamCASurgery Physician$167.9K$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. California Distribution
    James Rabago — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California