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    OpenPayerNPI Medicare & MedicaidEastern Podiatry PLLC
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    Eastern Podiatry PLLC — Billing Profile & Reimbursement Data

    NPI 1467768838 · Washington, DC · Primary Podiatric Medicine Podiatrist

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    Eastern Podiatry PLLC is a primary podiatric medicine podiatrist provider located in Washington, District of Columbia. This profile covers 0 Medicare and 8 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 TypeOrganization
    OrganizationEastern Podiatry PLLC
    Address5000 Nannie Helen Burroughs Ave Ne
    CityWashington
    StateDC
    ZIP20019
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedAugust 24, 2010

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

    Payer SourceTotal Paid
    Medicaid$34.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.6,010$1$18K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.550$10$6.6K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.1,420$1$4.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…780$1$2.3K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…240$10$1.5K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.1,250$1$1.2K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…20$20$320
    G0127Trimming of dystrophic nails, any number680$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. District of Columbia median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1640490$20$54.6K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.630810$10$25.2K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.820310$20$22.4K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.210210$20$15.9K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…710240$10$5.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…41090$20$2.3K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.210170$1$970
    G0127Trimming of dystrophic nails, any number310680$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph HatefNYFoot & Ankle Surgery Podiatrist$233.1K$2.4K
    Nicholas SzwabaNJPrimary Podiatric Medicine Podiatrist$212.4K$2.7K
    Jay SeidelMDFoot & Ankle Surgery Podiatrist$81.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Eastern Podiatry PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mbi Health Services LLCDCCommunity/Behavioral Health Agency$0$270.4M
    Psi Services Iii, IncDCMental Health Clinic/Center (Including Community Mental Health Center)$0$24.8M
    Abundant Grace Health Services LLCDCCommunity/Behavioral Health Agency$0$21.9M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$16.8M
    Family Preservation Services Of DcDCMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M
    Lifeline, IncDCHome Health Agency$0$12.2M
    Mbi Health Services LLCDCCase Management Agency$0$10.9M
    New Living Health Care Services LLCDCCommunity/Behavioral Health Agency$0$9M
    Unity Health Care, IncDCFederally Qualified Health Center (FQHC)$0$8.9M
    Dental Dreams PLLCDCGeneral Practice Dentistry$0$8.1M

    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.

    Medicaid Revenue by Year vs. District of Columbia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. District of Columbia Distribution
    Eastern Podiatry PLLC — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia