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    OpenPayerNPI Medicare & MedicaidBarbara Estes
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    Barbara Estes — Billing Profile & Reimbursement Data

    NPI 1508998816 · Prince Frederick, MD · Obstetrics & Gynecology Physician

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    Barbara Estes is a obstetrics & gynecology physician provider located in Prince Frederick, Maryland. This profile covers 6 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
    OrganizationBarbara Estes
    Address110 Hospital Rd Ste 310
    CityPrince Frederick
    StateMD
    ZIP20678
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedMarch 12, 2007

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

    Payer SourceTotal Paid
    Medicare$12.2K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination130$40$5.4K
    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…50$60$3.3K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory40$50$1.7K
    99203The provider sees a new 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 provider…10$80$920
    82270The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…220$1$880
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…30$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992136,2009,280100$60$12.5K
    992033,5183,63040$80$5K
    G01013542040$40$2.2K
    Q00917221030$50$1.8K
    8100244385030$1$260
    8227024040$1$220

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uday PatelMDOrthopaedic Surgery Physician$293.3K$0
    Helmut PfalzMDSurgery Physician$127.5K$0
    Joseph WuamettMDVascular Surgery Physician$98.4K$0
    Kimberly CookMDFamily Nurse Practitioner$78.5K$0
    Theodore TsangarisPASurgery Physician$50.3K$0
    Oloruntobi AgbelusiMDFamily Nurse Practitioner$29.6K$0
    Darleen ReinkingMDRegistered Dietitian$8.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dwi Services IncMDSubstance Abuse Rehabilitation Facility$0$16.8M
    Dwi Services, IncMDSubstance Abuse Rehabilitation Facility$0$14.3M
    Calvert County Health DepartmentMDAdult Mental Health Clinic/Center$0$10.5M
    Calvert County Public SchoolsMDLocal Education Agency (LEA)$0$9.4M
    Southern Maryland Community Network, Inc.MDMental Illness Community Based Residential Treatment Facility$0$6.8M
    Bayside Recovery LLCMDCommunity/Behavioral Health Agency$0$5.1M
    Bhargesh P. Mehta, M.d., P.A.MDPediatrics Physician$0$4.4M
    Maryland Eye Surgery Center, L.L.C.MDAmbulatory Surgical Clinic/Center$1.7M$0
    Faris HawitMDDermatology Physician$794.7K$0
    Jason WannerMDOphthalmology Physician$568.4K$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. Maryland Distribution
    Barbara Estes — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland