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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMonica Spencer
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    Monica Spencer — Billing Profile & Reimbursement Data

    NPI 1518234244 · East Brunswick, NJ · Podiatrist

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    Monica Spencer is a podiatrist provider located in East Brunswick, New Jersey. This profile covers 18 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
    OrganizationMonica Spencer
    Address620 Cranbury Rd Ste 106
    CityEast Brunswick
    StateNJ
    ZIP08816
    TaxonomyPodiatrist
    NPI EnumeratedNovember 23, 2011

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

    Payer SourceTotal Paid
    Medicare$516.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.1,400$80$104.7K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…1,580$70$102.7K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.1,230$80$99.8K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.1,790$30$51.9K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.960$40$37.5K
    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…490$70$32.4K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…310$60$19.5K
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.1,780$10$12.4K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.90$120$10.5K
    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…140$60$8.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993088891,430230$60$29.5K
    9921411,91313,640130$90$23.6K
    99349444580100$90$20.7K
    110564550150$70$17.2K
    1172182750310$40$15.9K
    992131,36314,090100$70$13.1K
    1104220144080$80$11.6K
    9930532675060$100$10.6K
    11057219070$70$9.6K
    99348351070$60$8.7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Junno ParkNJPodiatrist$338.3K$520
    Steeve YamadjakoMAFoot & Ankle Surgery Podiatrist$259.5K$0
    Jae ShinNYPodiatrist$229K$1.5K
    Edward MellerNJPodiatrist$200.2K$23.3K
    Saba AfzalNJFoot & Ankle Surgery Podiatrist$189.3K$0
    Lisa HauerNJFoot & Ankle Surgery Podiatrist$174K$0
    David ParkerNJPodiatrist$169.2K$870
    Desiree Nelson-kellyNJPrimary Podiatric Medicine Podiatrist$130.4K$0
    Amna MalikPAPodiatrist$108.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apluscare, LLCNJCommunity/Behavioral Health Agency$0$54.7M
    Their Place Inc.NJCommunity/Behavioral Health Agency$0$43.8M
    University Radiology Group, LLCNJDiagnostic Radiology Physician$0$33.8M
    Just Home IncNJAdult Day Care Clinic/Center$0$21.9M
    Aculabs IncNJClinical Medical Laboratory$7.7M$7.2M
    Catholic Charities, Diocese Of MetuchenNJCommunity/Behavioral Health Agency$0$13M
    Osprey Home Health LLCNJHome Health Agency$0$7.8M
    Allmed Transportation IncNJAmbulance$6.9M$831.6K
    Specialized Surgical Center Of Central New Jersey, LLCNJAmbulatory Surgical Clinic/Center$2.3M$678.3K
    Ez Clinical Laboratory IncNJClinical Medical Laboratory$463.4K$880.2K

    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. New Jersey Distribution
    Monica Spencer — 6 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey